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Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative medicines focused on helping millions of patients around the world in disease areas ..
Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..
... by late 2021, but the manager will be hired to participate ... Humana's Medicaid Inbound Contact Center Manager will be responsible for the ... Medicaid enrollee call center. The..
Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Columbus, Ohio!!rnrnFull-Time Opportunity, M-F 8am - 5pm type hoursrnrnSeeking Board Certified Internal Medicine or Family Medicine PhysicianrnrnThe physician will perform chart ..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
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). ..
... care, services, and supports in compliance with Ohio Department of Medicaid ... policies and procedures to ensure compliance with state and federal requirements ... years' experience working in the..
Job Information Humana Manager, Care Management(Behavioral Health) - Ohio ... care, services, and supports in compliance with Ohio Department of Medicaid ... policies and procedures to ensure compliance with state..
Job Description Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're ..
Job Information Humana Care Manager, Licensed Behavioral Health Professional or ... Ohio Description The Field Care Manager, Behavioral Health 2 (Care Manager, Behavioral Health) assesses and evaluates ... members. Responsibilities..
... fraud, waste, and abuse (FWA) compliance program to prevent and detect ... out the provisions of the compliance plan, including FWA policies and ... Oversee internal investigations of FWA..
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 ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they ... Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities The Senior Compliance..
Job Information Humana Care Manager, Registered Nurse, RN - Maternity, ... Ohio Description The Field Care Manager assesses and evaluates member's needs ... members. Responsibilities The Field Care Manager Nurse..
Columbus, OH, USA Full-Time Email Me This Job The Encourage Regional Director recruits and supports foster families in the Columbus and Central Ohio region, developing relationships with local children's service agencies ..
... on a mission to make healthcare simpler and more effective. We ... thatu2019s why we call ourselves Healthcare Warriorsu2122. Weu2019re committed to building ... every requirement. The Clinical Operations..
