Healthcare Claim Project Manager Jobs in Delaware | HealthcareCrossing.com


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56

Healthcare Claim Project Manager Jobs in Delaware





Job info
 
Company
**********
Location
Dover, DE
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
Dover, DE
Posted Date
Mar 22, 2021
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Dover, DE
Posted Date
Aug 26, 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
Dover, DE
Posted Date
Apr 17, 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
Wilmington, DE
Posted Date
Apr 22, 2022
Info Source
Employer  - Full-Time  90  

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

 
Company
**********
Location
Dover, DE
Posted Date
Dec 25, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

 
Company
**********
Location
Dover, DE
Posted Date
Apr 23, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Call Center Pharmacy Claims Technician, Remote in Dover Delaware Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative ..

 
Company
**********
Location
Dover, DE
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
Wilmington, DE
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

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,..

 
Company
**********
Location
Dover, DE
Posted Date
Nov 02, 2022
Info Source
Employer  - Full-Time  90  

Description Job Description Summary 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 ..

 
Company
**********
Location
Dover, DE
Posted Date
Nov 18, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Dover Delaware Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the Autism ..

 
Company
**********
Location
Dover, DE
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
Dover, DE
Posted Date
Sep 14, 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
Humana Inc.
Location
Dover, DE
Posted Date
Aug 17, 2022
Info Source
Employer  - Full-Time  90  

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

 
Company
**********
Location
Dover, DE
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 ..

 
Company
**********
Location
Dover, DE
Posted Date
Apr 23, 2022
Info Source
Employer  - Full-Time  90  

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

 
Company
Humana Inc.
Location
Dover, DE
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
Dover, DE
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
Dover, DE
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
**********
Location
Dover, DE
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
Humana Inc.
Location
Dover, DE
Posted Date
Nov 05, 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
Dover, DE
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
Wilmington, DE
Posted Date
Oct 05, 2022
Info Source
Employer  - Full-Time  90  

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,..

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