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... Job Information Deloitte C&M - Healthcare - Customer Strategy & Applied ... Manager in Minneapolis Minnesota Senior Manager/Specialist Lead, Healthcare Customer Strategy In the current ... to precisely reflect..
... leadership. Our Department of Defense Contract requires U.S. citizenship for this ... Qualifications Our Department of Defense Contract requires U.S. citizenship for this ... Qualifications 2 plus years of..
Coding Specialist We have exciting employment opportunities ... Position Summary The HIM Coding Specialist will handle medical coding and ... outpatient procedures consistent with client contract and documentation in the..
Job Information Humana Medical Director - National Medicare Team in Minneapolis Minnesota Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..
... 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..
Job Information Humana FP&A Lead, Medicaid Market in Minneapolis Minnesota Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
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 ..
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 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 ..
Job Information Humana UM Medical Director - Conviva in Minneapolis Minnesota Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Minneapolis Minnesota Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
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 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, ..
Job Information Humana Medical Director - Florida Medicaid in Minneapolis Minnesota Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
... The Provider Contracting Executive communicates contract terms, payment structures, and reimbursement ... settlement arrangements (with finance)Delivers a contract that can be operationalized, and ... be operationalized, and maintained.Collaborates with..
Description: We are excited to be able to offer the opportunity to join our team as Teaching and Research Associate (TARA). This post is designed to develop vital skills and experiences ..
Job Information Humana Senior Contract Tools, Education, Processes Professional - ... Minneapolis Minnesota Description The Senior Contract Tools, Education, Processes Professional builds ... in class knowledge. The Senior Contract Tools,..