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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..
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 ..
Job Information Humana Data Manager / ETL Developer - Primary Care Organization in Springfield Missouri Description The Data Manager 2 supports all aspects of configuration control, data management, and deficiency reporting. ..
Job Information Humana Director, Informatics in Springfield Missouri Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
... 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 Manager, Utilization Management RN - Remote in Springfield Missouri Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical ..
... 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 Senior Data Manager - Primary Care Organization in Springfield Missouri Description The Senior Data Manager supports all aspects of configuration control, data management, and deficiency reporting. The Senior ..
Job Information Humana Utilization Management Registered Nurse - Remote in Springfield Missouri Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..
Job Information Humana Market Development Advisor - Medicaid Provider Service Operations in Springfield Missouri Description The Market Development Advisor - Medicaid Provider Service Operations provides support to assigned health plan and/or ..
Job Information Kindred at Home Social Worker Home Health PRN in SPRINGFIELD Missouri The Medical Social Worker participates in the interdisciplinary care provided to home health patients. The Medical Social Worker ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Springfield Missouri Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Springfield Missouri Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Springfield Missouri Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
... 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..
Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. Why Genesis? We improve ..
DutiesIncumbent assists Registered Nurses (RN) and Licensed Practical Nurses (LPN) in performing patient care activities for psychiatric and long-term medical/surgical patients. Assists physicians and nurses with exams or treatments, including turning ..
Job Information Humana Senior Technology Implementation Professional (Remote-Nationwide) in Springfield Missouri Description The Senior Technology Implementation Professional delivers new technological solutions to meet business needs within a specified scope while aligned ..
Job Information Kindred at Home Licensed Practical Nurse Home Health PRN in Springfield Massachusetts As a Home Health LPN, you will: Provide professional nursing services under the direction of a RN ..
Job Information Kindred at Home Behavioral Health Home Health LPN in Springfield Massachusetts As a Home Health LPN , you will: Provide professional nursing services under the direction of a RN ..
DutiesAssures high quality respiratory care is provided at the Medical Center for Federal Prisoners under the direct supervision of the Hospital Systems Administrator (HSA), with a physician reviewer/advisor. Consults with physicians ..
... 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..