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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 ..
WalgreensnJob DescriptionIn accordance with state and federal regulations, assists the pharmacist, under direct supervision, in the practice of pharmacy. Assists the pharmacist in the performance of other Pharmacy Department duties in ..
Admin / Clerical (188) Advanced Practice Registered Nurses / Physician Assistants (339) Allied Health (3185) Executive (81) Operations (252) Physicians/Surgeons (1354) Quality/Risk Management (19) Type Contract (1) Fellowship (0) Full Time ..
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 ..
Cenikor Foundation is a non-profit organization and one of the largest substance abuse treatment centers in the nation.u00a0We are currently seeking au00a0Nurse Manageru00a0for our short-term/detox inpatient facilityu00a0in Farmington, NM.Schedule:u00a0Monday- Friday 7am ..
Job Information Humana Associate Director, Site Reliability Engineering in Albuquerque New Mexico Description The Associate Director, Site Reliability Engineering maintains, integrates and implements software applications within the organization. The Associate Director, ..
... 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 Information Kindred at Home RN Clinical Manager in Las Cruces New Mexico The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, ..
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. We are changing how ..
Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. Responsibilities There are 4 shifts available for this role. All ..
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 ..
Job Description:Our client, located in the Beautiful state of New Mexico is looking for an experienced Accountant to work in the hospital setting. The ideal candidate has a Bachelor's Degree in ..
Job Information Humana Medicare Risk Adjustment Documentation and Coding Improvement Educator - CO/NM WAH - Travel Required in Albuquerque New Mexico Description Our search is focused on identifying an individual contributor ..
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 ..
... is a leading provider of healthcare services from short-term to long-term ... through the delivery of high-quality healthcare and everyday compassion! We Care ... that is responsible for census,..
... will ensure appropriate and cost-effective healthcare services leading to a medically ... meeting Best Practices timeframes. Report billing hours in accordance with case ... accordance with case activity and..
WalgreensnJob DescriptionOur pharmacy technician positions have undergone an exciting transformation, moving from a transaction-based environment to a much more patient-centric one. As a Walgreens Pharmacy Technician or Pharmacy Technician Apprentice, you'll ..
... 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..
Genex Service LLC Field Case Manager 2 US-NM-Albuquerque Job ID: 22-13429 Type: Regular Full-Time # of Openings: 1 Category: Case Management Mitchell International Overview The Enlyte Family of Businesses Mitchell | ..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Albuquerque New Mexico Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ..
Our pharmacy technician positions have undergone an exciting transformation, moving from a transaction-based environment to a much more patient-centric one. As a Walgreens Pharmacy Technician or Pharmacy Technician Apprentice, you'll be ..
Job Information Humana Call Center Pharmacy Claims Technician, Remote in Albuquerque New Mexico Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims ..
Job Information Humana Manager, Fraud and Waste-Remote US in Albuquerque New Mexico Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..