- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Clinical Strategy and Practice Lead builds strategies for development, engagement, best ... for clinical community within the enterprise. The Clinical Strategy and Practice Lead works on...for improvement. Establish, operate, and improve the systems that capture , track, and regularly report on work in flight,… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Clinical Strategy team is a multi-disciplinary team focused on creating data-driven strategies to ... reducing unnecessary costs from the healthcare system. The Utilization Management Strategy Lead role works closely with internal and external stakeholders, such as … more
- Trinity Health (Silver Spring, MD)
- …claim edits for hospital-based services, including surgical procedures. Ensuring correct charge capture and coding with proper ICD-10 codes, as well as proper ... using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing charge entry; and performing discrepancy resolution. Serves… more