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... Position Summary The HIM Coding Specialist will handle medical coding and ... outpatient procedures consistent with client contract and documentation in the medical ... problem list consistent with client..
Job Information Humana Senior Contract Tools, Education, Processes Professional - ... Cincinnati Ohio Description The Senior Contract Tools, Education, Processes Professional builds ... in class knowledge. The Senior Contract Tools,..
Hueman is hiring Nurse Practitioners to complete Health Risk Assessments (HRAs) in the home of Medicare and Medicaid members in and around Bethel, OH. This position offers certified Nurse Practitioners the ..
Job Information Humana Provider Engagement Executive - Behavioral Health in Cincinnati Ohio Description The Behavioral Health Provider Engagement Executive utilizes their knowledge and skills to develop and grow positive, long-term relationships ..
... market contracting teams to influence specialist contract terms that align with Service ... in close coordination with PCP Contract Load, Capitation Rates, Payments, and ... Adjustments teams to ensure..
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 ..
CURRENT UC EMPLOYEES MUST APPLY INTERNALLY VIA SUCCESSFACTORS > HTTP://BIT.LY/UCEMPL Founded in 1819, the University of Cincinnati puts education into action, ranking among the nation's best urban public research universities. Home ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
CURRENT UC EMPLOYEES MUST APPLY INTERNALLY VIA SUCCESSFACTORS > HTTP://BIT.LY/UCEMPL Founded in 1819, the University of Cincinnati embarks upon its third century - building on the past and defining the future ..
... compliance issues Work with the Contract Compliance Officer and Compliance Officer ... initiatives designed to resolve FWA contract compliance issues Respond to FWA ... meetings Required Qualifications Experience in..
Job Information Humana Senior Provider Contracting Professional - TRICARE Behavioral Health in Cincinnati Ohio Description Responsibilities The position will provide corporate support to the Director of Provider Contracting and is responsible ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
