Position Purpose: The Senior HEDIS Quality & Audit Analyst serves as an enterprise subject matter expert responsible for advanced HEDIS quality oversight, audit readiness, and submission support activities. This role independently interprets regulatory and audit requirements, leads complex
Applicants for this job have the flexibility to work remote from home anywhere in the United States. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the
Position Purpose: Takes a lead role in the development and maintenance of quality improvement related projects specific to HEDIS Hybrid Operations. The position serves as the primary owner for assigned HEDIS measures and leads complex quality improvement initiatives
Job Summary Location: Tricare Prime Clinic Chesapeake Labor Category: Licensed Practical Nurse Place of Performance: The work to be performed under this contract will be at Tricare Prime Clinic Chesapeake. Recognized Holidays: Contract HCWs will be
Risk Adjustment Coding Auditor Job Description: The Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded clinical data to support compliant reporting and appropriate reimbursement across risk adjustment programs. The role strengthens organizational performance
Become a part of our caring community At Humana, we put the health and well-being of our members at the center of everything we do. As an Onsite Care Coordination Nurse, you will play a vital
Client Services Account Manager – Payer Healthcare Services Remote, United States | Full-time | $120,000–$140,000 annual base salary | Travel up to 10% Own the relationships and behind-the-scenes execution that keep Medicare and Medicaid programs moving.
Position Purpose: Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue
Position Purpose: Manage annual development and creation of HEDIS Provider Toolkit and communications. Assist in the maintenance of an overarching communications practice in a managed care environment. Key Details: The Senior Communications Specialist is fully remote. Candidates
Market Cmo At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build
Market Chief Medical Officer At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.
Market Chief Medical Officer At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.