Job Description Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Provides subject matter expertise in planning and implementing QI initiatives and education programs to support improved Medicare Star ratings. Responsible
Essential Duties and Responsibilities: - Perform as a key member of the senior management team responsible for meeting cost, schedule, and quality requirements of the project. - Oversee all contract administrative functions including policy, budget, and resources.
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system
Affinity Care of Ohio - Job Description RN Hospice Workflow Specialist / Weekend Manager (Remote) Position Summary The RN Hospice Workflow Specialist / Weekend Manager is responsible for overseeing and coordinating hospice clinical operations during weekends
Essential Duties and Responsibilities: - Lead the development and implementation of advanced sourcing and category management strategies through the RFx process. - Oversee the negotiation and development of contracts with new suppliers and/or renegotiate existing contracts to
Essential Duties and Responsibilities: - Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed - Interview and recommend hiring and promotion of