Healthcare Application Specialist Jobs in Maine

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..

Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..

Requisition Number: 150286   Company Name: The Davey Tree Expert Company  Service Line: 1RES - Kent-Residential & Commercial Services  Employment Type: Regular  Job Type: Full Time  Education Level Required: High School Diploma ..

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..

Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..

... 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 Clinical Pharmacy Lead, Remote in Portland Maine Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and ..

ADDITIONAL LOCATIONS: Portland, ME, Saco, ME, Buxton, ME, Scarborough, ME PRIMARY LOCATIONS:ME, Gorham, 298 New Portland Road, 4038  REQUISITION ID:166914 POSITION OVERVIEW $5000 SIGN ON BONUS FOR QUALIFIED CANDIDATE     Invest in ..

Save Refer friends Job description Commute time Make an Impact on our Geriatric Community n Our team is growing, and we're looking for top caliber Physical Therapists to join us in ..

Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual to contribute to a high performing team that ..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Portland Maine Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..

Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..

Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Portland Maine Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team ..

Job Information Humana FP&A Lead, Medicaid Market in Portland Maine Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..

Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..

... Qualifications Bachelor's Degree in Business, Healthcare Administration, Mathematics and/or related field ... implementation technical experience Medicaid experience Healthcare and/or managed care experience Ability ... job as we are a..

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..

Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Portland Maine Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and scope ..

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..

... 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..

Save job Refer friends Job description Commute time Make an Impact on our Geriatric Community n Our team is growing, and we're looking for top caliber Physical Therapists to join us ..

Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..

Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..