THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
Supports PDF, DOC, DOCX, TXT, XLS, WPD, HTM, HTML files up to 5 MB
Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..
Job ID 21000JSKAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
Job ID 21000M0KAvailable Openings 1Position Specific Information Must have LMSW LCSW preferred, but not required PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..
Location: New Haven, CT Department: ABA Services Posted: 05/25/2023 Location Name: Connecticut Wage: TBD Come join a team of passionate therapists providing excellent pediatric therapy to children throughout the United States! ..
... is looking for an experienced Healthcare Investigator to join its industry ... provider records ensuring appropriateness of billing practices. Prepares investigative and audit ... areas Bachelor's degree or significant..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Bridgeport Connecticut Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..
A thriving and well-regarded Private Practice group in Southwest Connecticut seeks a Board Certified (or Board Eligible less than 2 years) General/Adult Psychiatrist for a rare opening in the organization. The ..
Job Information Humana Manager, Fraud and Waste-Remote US in Bridgeport Connecticut Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. This position is for Enclara Pharmacia, a Humana company. Enclara, ..
Job Information Humana Staff RX Clinical Programs Oncology Pharmacist in Bridgeport Connecticut Description The Staff RX Clinical Programs Oncology Pharmacist will be responsible for building relationships with oncology clinical practices that ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... provider records ensuring appropriateness of billing practices. Prepares complex investigative and ... Qualifications Bachelor's degree or significant..
Job ID 21000M0TAvailable Openings 1Position Specific Information Dialysis experience required PURPOSEAND SCOPE: Ensures appropriate provision of outpatient dialysis servicesand treatments within assigned hospitals/facilities by coordinating, scheduling, and directing outpatient care staff ..
Description The Caregiver 3, RN provides patients with assistance in activities in daily living. The Caregiver 3, RN performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply ..
Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..
Job Information Humana Associate Director, Site Reliability Engineering in Bridgeport Connecticut Description The Associate Director, Site Reliability Engineering maintains, integrates and implements software applications within the organization. The Associate Director, Site ..
Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The Nurse ..
Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direct all quality ..
Director of the Pediatric Residency Program Category: Academics Subscribe: Department: College of Health Professions [CHP] Locations: Fairfield, CT Posted: Apr 19, 2023 Closes: Apr 21, 2023 - 11:59 PM EDT Type: ..
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 ID 21000M9FAvailable Openings 2Description Lend direction as well as a caring attitude. Bring a smile and your vital knowledge to everyone, every day. Brighten prospects for patients and your career. ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
