- Humana (Tampa, FL)
- …of our caring community and help us put health first** The Nurse Senior Stars Improvement, Clinical Professional/ Consultant contributes to the development, ... management of the company's Medicare/Medicaid Five-Star Quality Rating System. The Senior Stars Improvement, Clinical Professional works directly with provider… more
- Elevance Health (Tampa, FL)
- …and process pre service and post service grievances and appeals requests related to clinical and non clinical services, quality of service and quality of care ... appeals requests from customer and multiple products related to clinical and non clinical services, quality of...correctly utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal issue(s) and… more