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Job Information Humana Clinical Vendor Management Lead - Remote, FL in Palm Coast Florida Description The Clinical Vendor Management Lead works as clinical liaison between vendors and organization. The Clinical Vendor ..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Description CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works on ..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..
Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
... in Florida is seeking an Associate Director, Care Management who will ... responsible for care management. The Associate Director, Care Management requires a ... interrelate across department(s). Responsibilities The..
Job Information Humana Manager, Fraud and Waste-Remote US in ... Saint Augustine Florida Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
... in Florida is seeking an Associate Director, Care Management leads teams ... responsible for care management. The Associate Director, Care Management requires a ... interrelate across department(s). Responsibilities The..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Description The Associate Director, Full Stack Engineering Performs ... appearance at the front-end. The Associate Director, Full Stack Engineering requires ... for one of the leading healthcare organizations. Reporting to..
