- Humana (Hartford, CT)
- …Based Services, Medicaid and Medicare integration, D-SNPs, and Self-Directed Services. The Capture Lead , Medicaid Clinical & Population Health ... put health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population...clients and populations served in target growth markets. The Lead , Medicaid Clinical & Population… more
- Humana (Hartford, CT)
- …(MA) and Special Needs Plan (SNP) populations that benefit from payer led clinical services. This role will focus on opportunities to improve member health outcomes, ... member and provider experience, clinical quality, and savings to medical costs. The Strategy...quality, cost, and experience for members and providers + Lead cross-functional teams to define discrete opportunities that are… more
- Sevita (Hartford, CT)
- …Coordinates and executes pre- and post-payment audits of medical records and associated clinical documentation to ensure proper charge capture and billing in ... the United States. Our extraordinary team offers innovative, quality services and support that lead to growth and new opportunities for the people we serve and for… more
- Humana (Hartford, CT)
- …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
- HealthEdge Software Inc (Hartford, CT)
- …(from basic to advanced features/functionality), payment methodologies/policies (Medicare, Medicaid , and commercial), payment integrity, and healthcare plan ... and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for… more