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Description The Manager, Coding Education identifies opportunities to improve provider ... provider documentation and creates an education plan tailored to each assigned ... to each assigned provider. The Manager, Coding..
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Description We are seeking a driven individual to support the Stars program to positively impact HEDIS performance through delivery of strategic initiatives and operational excellence. The role will support the preventive ..
Description The Coding Educator 2 identifies opportunities to ... provider documentation and creates an education plan tailored to each assigned ... to each assigned provider. The Coding Educator 2 work..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description The Medical Coding Auditor Supervisor handles a combination ... to patient records. The Medical Coding Auditor Supervisor's work assignments are ... of an auditor, the Medical Coding Auditor Supervisor..
... (CCM) organization is seeking a Manager, Fraud & Waste to join ... As the Fraud & Waste Manager at Humana, you will support ... of reviewing claims payments for..
Description Responsibilities As a senior cloud engineer, you will perform a range of activities required to both maintain and continuously automate a large, complex virtualization and cloud-based computing environment in Azure. ..
