Government Healthcare Jobs

Description The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..

... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... a Bachelor's degree in Business, Healthcare, or related field and/or 8 ... 5 years' experience in the..

... 5 or more years of healthcare policy experience including a track ... research, and resource development supporting healthcare policy and for translating information ... otherwise Direct understanding of how..

... Training Provided No Dialysis or Healthcare experienced required Full-Time variable schedule ... in-patient treatments in hospital or healthcare systems, there may be additional ... Dialysis (PD) nursing experience *..

Job Information Humana UM Medical Director - Conviva in Jersey City New Jersey Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..

418 Summit Avenue,Jersey City,New Jersey,07306,United States of America DaVita is seeking a Patient Care Technician who is looking to give life in an outpatient dialysis center. You can make an exceptional ..

Job Information Humana Senior Technology Implementation Professional (Remote-Nationwide) in Jersey City New Jersey Description The Senior Technology Implementation Professional delivers new technological solutions to meet business needs within a specified scope ..

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

Job Information Humana Manager, Utilization Management RN - Remote in Jersey City New Jersey Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..

Job Information Humana Senior Data Manager - Primary Care Organization in Jersey City New Jersey Description The Senior Data Manager supports all aspects of configuration control, data management, and deficiency reporting. ..

Job Information Humana Bilingual Quality Auditor in Jersey City New Jersey Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of ..

Job Information Humana Data Manager / ETL Developer - Primary Care Organization in Jersey City New Jersey Description The Data Manager 2 supports all aspects of configuration control, data management, and ..

Job Information Humana Market Development Advisor - Medicaid Provider Service Operations in Jersey City New Jersey Description The Market Development Advisor - Medicaid Provider Service Operations provides support to assigned health ..

Job Information Humana Utilization Management Registered Nurse - Remote in Jersey City New Jersey Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of ..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in Jersey City New Jersey Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work ..

Job Information Humana Director, Informatics in Jersey City New Jersey Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with ..

... experience Bachelor's degree in Business, Healthcare Administration or related field Excellent ... Successfully receive interim approval for government security clearance (eQIP - Electronic ... their home. We are a..

Description The Accounting Lead performs general accounting activities, including the preparation, maintenance and reconciliation of ledger accounts and financial statements such as balance sheets, profit-and-loss statements and capital expenditure schedules. Conducts ..

... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..

Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Jersey City New Jersey Description The Medical Coding Auditor reviews medical claims submitted against medical ..

... support advocacy efforts with state government officials and regulators (in partnership ... 5 or more years of healthcare policy experience including a track ... research, and resource development supporting..

Job Information Humana Medicare Appeals and Grievance Medical Director in Jersey City New Jersey Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for ..

Job Information Humana Manager, Credentialing in Jersey City New Jersey Description Responsibilities The Manager, Certifications Operations reviews the applicant's education, training, clinical experience, licensure, accreditation, certifications, professional liability insurance, and other ..