• Market Consultation

    Humana (Columbus, OH)
    …and help us put health first** The HQRI Provider Support Team (PST) Market Consultation / Partnership Professional 2 creates content and deploys training ... facing associates on our market teams. The Market Consultation / Partnership Professional 2 work...Storyline, Captivate; CBT creation + Risk Adjustment and Quality Stars experience + CPC (Coding Professional Certification) + Ability… more
    Humana (04/17/24)
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  • Senior Medical Director

    ChenMed (Louisville, KY)
    …providers to deliver high quality, cost-effective care; 2) effective dyad partnership with the Center Director/Center Executive director; and 3) ability to ... to help our clinicians become successful and reach PCP Partnership status: panel size target of 400-450 patients for...SMD will work closely with the applicable center and market leadership to ensure compliance with guidelines along with… more
    ChenMed (04/27/24)
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  • Senior Provider Contracts Administrator (Hybrid)…

    Henry Ford Health System (Grand Rapids, MI)
    …providers for managing the total cost of care (TCOC), quality (eg MA Stars ), accurate data collection that results in appropriate risk score recognition, general ... alternative provider unit price and lower cost setting analysis and certain market competition analyses. The SPCA will also audit current claims processing unit… more
    Henry Ford Health System (03/28/24)
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