Remote Nurse Clinical Lead - Medicare Stars & MRA Expert
Humana Inc
- Remote job
Humana Inc. is seeking a Nurse Clinical Lead to partner with the National Medical Director and lead clinical guidance for Medicare Stars, Risk Adjustment (MRA), and Interoperability. This role emphasizes clinical expertise, coding excellence, and provider education to optimize performance across programs. The position requires an RN with 5+ years of healthcare experience and CPC certification, plus strong knowledge of Medicare Risk Adjustment and Stars. #J-18808-Ljbffr Humana Inc
- ...United States seeks a Nurse Clinical Lead to guide clinical... ...provider education across Medicare Stars, Risk Adjustment, and... ...as a clinical coding expert and trusted advisor... ...Strategy teams, supporting MRA and Stars initiatives... ...improvements. This remote role requires RN...Remote job
- Humana Inc. seeks a Nurse Clinical Lead to partner with the National Medical Director and lead clinical strategy for Stars, MRA, and Interoperability. This role emphasizes clinical coding... ...certification, and deep knowledge of Medicare Risk Adjustment and Stars. #J-18808-...Remote job
- Humana, Inc. is seeking a Nurse Clinical Lead to support Medicare Stars, Risk Adjustment and Interoperability initiatives. You will provide clinical guidance... ...Quality and Cost Strategy organization. The role is remote with occasional travel to Humana offices for training...Remote work
- Humana Inc. is seeking a Nurse Clinical Lead to support Medicare Stars, Risk Adjustment and Interoperability initiatives. The role involves clinical guidance... ...collaboration with corporate and regional teams. Remote or home office options with periodic travel may be required...Remote workHome office
- Humana, Inc. is seeking a Nurse Clinical Lead to collaborate with the National Medical Director and to support Medicare Stars, Risk Adjustment, and Interoperability programs. The role... ...strong knowledge of Medicare programs. Remote/work-from-home with occasional travel to...Remote jobWork from home
- Humana Inc. is seeking a Nurse Clinical Lead to support national... ...for provider success in Medicare Stars, Risk Adjustment, and Interoperability... ..., serve as a coding expert, and act as a SME across MRA and Stars, coordinating... .... This position is remote with occasional travel....Remote work
- Humana Inc. seeks a Nurse Clinical Lead to guide clinical strategy for Medicare Stars, Risk Adjustment (MRA), and Interoperability. You will leverage... ...as the clinical coding expert, drive provider practice improvements... ...organization. This is a remote, high-impact leadership...Remote work
- GE HealthCare seeks an Ultrasound Clinical Sales Specialist to act as a clinical expert in Ultrasound Imaging, developing departmental partnerships with decision... ...cross‑function with sales, marketing, and internal stakeholders to drive adoption. #J-18808-Ljbffr Remote JobsRemote work
- ...Preferred Family Care, Inc. is hiring a Nurse Practitioner for our North Miami Beach location. This full-time role requires strong experience in Medicare Advantage, HEDIS measures, and MRA coding. The ideal candidate will conduct patient assessments, develop care plans...Full time
$55k - $60k
A healthcare technology company based in San Francisco is seeking a Lead Clinical Support Specialist to manage a clinical engagement program aiming for five-star results in Medicare measures. The role involves oversight of clinical project goals, intervention strategy development...Remote job- Herzing University in the United States seeks a Lead Nursing Faculty - Certification & Licensure Coordinator to lead and support all aspects of the program related to NCLEX preparation and to maximize first‑time pass rates. The role includes planning and delivering development...Remote job
- ...support on Mac and all versions of Windows, and offer proactive remote monitoring on business systems. The Nerd must have a strong field... ...to be a part of a growing brand! (Voted the ChamberALX's Rising Star of the Year at the 2021 Best in Business Awards and recognized...Remote work
- Vytwo is seeking a Facets Tester for a remote, 5-month position. The candidate will define and document test cases in Jira, execute them... ...include extensive experience with Facets, SQL, and Medicare claims, along with the ability to create and execute test cases...Remote job
- Jobtailor is hiring for a remote OASIS QA coder with an RN license and Medicare PDGM knowledge. You will review and validate OASIS assessments, code diagnoses per CMS guidelines, and ensure compliance. Strong attention to detail and ability to work independently are essential...Remote job
- ...UEFN, and Verse scripting, collaborating with artists and programmers while mentoring newer designers. Remote work is available; you will report to the Lead Level Designer and contribute to Disney IP across Star Wars, Marvel, and Pixar franchises. #J-18808-Ljbffr DisneyRemote job
- About the role A fantastic opportunity is available for a Star Expert to join our team at Mercedes-Benz of Carlisle. As a Sytner Star Expert... ...Why Sytner? Sytner Group are delighted to provide an industry-leading benefits package. We are passionate about continuous...Full time
$45 per hour
...endorsements or training for. Make an Impact Where It Matters Most. At TX-STAR Speech Language Services, we partner with school districts... ...in the Division of Anatomi. About the role We are hiring expert Evaluators in Special education / IEP to review and assess AI-generated...Remote jobPermanent employmentCurrently hiring- 5 STAR VAs is seeking a Remote Property Accountant to support the Accounting team in Yonkers, NY. The role involves managing financial reporting, completing month-end close activities, and analyzing cash flow for informed business decisions. The ideal candidate should...Remote job
- UnitedHealth Group is seeking a remote/hybrid healthcare support professional to assist in... ...teams to close gaps in care and improve STAR measures. The position requires 2+ years... ...customer service, 1+ year in healthcare with clinical terminology familiarity, HIPAA knowledge,...Remote workWork at office
$150 - $180 per hour
...related tasks, offering competitive pay up to $150-180/hr. You must have a valid mental health license, strong attention to detail, and a reliable internet connection. Join our Expert Network to influence future AI innovations and work flexibly from home. #J-18808-Ljbffr...Remote workWork from home$110k
...future where humanity is out exploring the stars is fundamentally more exciting than one... ...Torrance) at Wilshire Law Firm Hourly: $50.00 Remote Full-time Paralegal for personal injury... ...Full-time Mercor is partnering with a leading AI organization to engage attorneys and...Remote jobHourly payPermanent employmentFull timeContract workWork at office- byebyeoffice is looking for a Clinical Pharmacist to join their remote team. This role focuses on conducting medication reviews and improving drug therapy effectiveness for Healthspring Medicare members. Key qualifications include a Doctor of Pharmacy degree and an active...Remote job
$8 - $65 per hour
Prolific is looking for Mental Health Professionals in Washington, DC to help train advanced AI models. Participants will review AI-generated content, analyze psychological scenarios, and provide feedback to enhance AI responses. Ideal candidates should have verified mental...Remote workHourly payWork from homeFlexible hours- Prolific is seeking Mental Health Professionals in Nashville, TN, to help train and evaluate AI models. Candidates will review AI-generated responses, complete training tasks, and provide insights based on their understanding of psychological theory. Successful participants...Remote workHourly payWork from homeFlexible hours
$57k - $117k
...The short version: We need a setter who can connect with warm leads, run short qualification calls, and book consultations for our closer... ...streams implementing the consulting we provide. We have 400+ 5 star reviews on Trustpilot. This isn't a "guru" offer with no...Remote job$55k - $60k
...healthcare technology and clinical services company with a... ...access to care. Backed by leading healthcare investors and... ...program that achieves five-star results across a variety of Medicare Part C and Part D... ...required, preferably within a remote setting. Excellent analytical...Remote workLive in$70 - $71 per hour
EPITEC is seeking a Remote Clinical Pharmacist - Prior Authorization Reviewer to support Medicare pharmacy operations from Detroit, MI, with occasional in‑office days. The role handles prior authorization requests, applies CMS rules, and collaborates with providers and...Remote jobHourly payWork at officeMonday to Friday- ...been identified as a match. Should this match be identified you may be contacted for this and future openings. Ability to Work Remotely: Part-time Remote Telework: The employee selected for this position will work part of their work schedule remotely and part of their...Remote workFull timePart timeWork at officeRelocationFlexible hoursShift work3 days per week
$8 - $65 per hour
...status as a Mental Health Professional and offers competitive pay rates ranging from $8–$65/hr for tasks, which can be completed remotely. Candidates will analyze AI-generated data and provide insights based on psychological expertise. This unique opportunity allows professionals...Remote workWork from homeFlexible hours$60 per hour
...Disney /Pixar, 20th Century, Star Wars and Marvel properties,...... ...versatile Graphic Designer to lead visual storytelling across every... ...their innovative team.This remote, temporary role spans 10 to 26... ...specialist metabolic medicine clinic.We combine clinical depth with...Remote workHourly payPermanent employmentFull timeContract workTemporary workWork from home
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