• Behavioral Health Medical Director…

    Humana (Boise, ID)
    **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity ... approach for project components, and work is performed without direction. The Behavioral Health Medical Director actively uses their medical background,… more
    Humana (04/09/24)
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  • Manager Data Analysis & Testing - Medicaid

    Highmark Health (Boise, ID)
    …**_Compliance Requirement:_** _This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
    Highmark Health (04/17/24)
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  • Associate Hierarchical Condition Category (HCC)…

    Highmark Health (Boise, ID)
    …Inc. **Job Description :** **JOB SUMMARY** This job will deliver value to the Health Plan and its beneficiaries enrolled in Risk Adjusted government programs such as ... coding, clinical terminology and anatomy/physiology, and Centers for Medicare and Medicaid Services (CMS) coding guidelines. Works closely with team members, and… more
    Highmark Health (04/18/24)
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  • Senior Hierarchical Condition Category (HCC)…

    Highmark Health (Boise, ID)
    …**Job Description :** **JOB SUMMARY** This job will deliver value to the Health Plan and its beneficiaries enrolled in risk-adjusted government programs such as ... medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and support of Risk Adjustment Data… more
    Highmark Health (04/18/24)
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  • Program Manager Risk Adjustment

    Highmark Health (Boise, ID)
    …assigned area. + Monitor and evaluate the progress, alignment and financial " health " of a cross-functional group of projects and related activities which together, ... technology **Preferred** + Understanding of government programs - Medicare Advantage, Medicaid , Affordable Care Act + Demonstrated knowledge of risk adjustment… more
    Highmark Health (04/10/24)
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  • Hierarchical Condition Category (HCC) Coding…

    Highmark Health (Boise, ID)
    …**Job Description :** **JOB SUMMARY** This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as ... medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation… more
    Highmark Health (03/14/24)
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