Healthcare Claim Project Manager Jobs in Alaska | HealthcareCrossing.com


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39

Healthcare Claim Project Manager Jobs in Alaska





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Job info
 
Company
**********
Location
Anchorage, AK
Posted Date
Feb 14, 2021
Info Source
Employer  - Full-Time  90  

Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..

 
Company
**********
Location
Anchorage, AK
Posted Date
Aug 17, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Manager, Pharmacy and Medical Trend in Anchorage Alaska Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and medical, ..

 
Company
**********
Location
Anchorage, AK
Posted Date
Oct 13, 2021
Info Source
Employer  - Full-Time  90  

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..

 
Company
**********
Location
Anchorage, AK
Posted Date
Feb 07, 2022
Info Source
Employer  - Full-Time  90  

... of services provided by other healthcare professionals in compliance with review ... issues regarding technical approach for project components, and work is performed ... working with health insurance other..

 
Company
**********
Location
Anchorage, AK
Posted Date
Dec 16, 2022
Info Source
Employer  - Full-Time  90  

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

 
Company
**********
Location
Anchorage, AK
Posted Date
Apr 22, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Anchorage, AK
Posted Date
Feb 07, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Medical Director of Trend Analytics in Anchorage Alaska Description Humana's ECM organization is seeking a Medical Director of Trend Analytics. As a clinical trend leader you will support ..

 
Company
**********
Location
Anchorage, AK
Posted Date
Feb 07, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Medical Director - Texas in Anchorage Alaska Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to ..

 
Company
**********
Location
Anchorage, AK
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..

 
Company
Humana Inc.
Location
Anchorage, AK
Posted Date
Apr 22, 2023
Info Source
Employer  - Full-Time  90  

Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..

 
Company
**********
Location
Anchorage, AK
Posted Date
Apr 22, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Manager, Fraud and Waste-Remote US in ... in Anchorage Alaska Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

 
Company
**********
Location
Anchorage, AK
Posted Date
Dec 11, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Anchorage, AK
Posted Date
Oct 08, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Anchorage, AK
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

 
Company
Humana Inc.
Location
Anchorage, AK
Posted Date
Mar 23, 2023
Info Source
Employer  - Full-Time  90  

... of services provided by other healthcare professionals in compliance with review ... issues regarding technical approach for project components, and work is performed ... whether services provided by other..

 
Company
Humana Inc.
Location
Anchorage, AK
Posted Date
Oct 08, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Anchorage, AK
Posted Date
Nov 03, 2022
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Anchorage, AK
Posted Date
May 27, 2022
Info Source
Employer  - Full-Time  90  

Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team uses advanced scientific techniques, ..

 
Company
Humana Inc.
Location
Anchorage, AK
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Anchorage, AK
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

 
Company
**********
Location
Anchorage, AK
Posted Date
Feb 19, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana UM Medical Director - Conviva in Anchorage Alaska Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

 
Company
**********
Location
Anchorage, AK
Posted Date
Nov 21, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Anchorage Alaska Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..

 
Company
**********
Location
Anchorage, AK
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

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