HIM Clinical Data Quality Auditor and Educator
Virta Health- Full Time
- Junior (1 to 2 years)
Candidates should possess a minimum of 2 years of experience in provider installation, directory management, provider data operations, data management, configuration, or a related discipline, along with prior experience in data management systems and software. Technical proficiency in directory design, programming, and/or testing, and the ability to analyze and interpret data within the healthcare industry are also required.
The Provider Installation Professional 2 will create design and programming for provider directories, ensuring data accuracy and timeliness according to regulations. They will develop and maintain a robust data structure, conduct thorough proofing and quality assurance procedures, investigate and resolve data discrepancies, collaborate with IT and other teams, implement and test directories, generate and post directories to electronic libraries, maintain operating guidelines, and update standard operating procedures. They will also assist with managing change orders and reporting on progress to senior management.
Health insurance provider for seniors and military
Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.