Healthcare Contract Specialist Jobs in Columbia

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 Senior Contract Tools, Education, Processes Professional - ... Bethesda Maryland Description The Senior Contract Tools, Education, Processes Professional builds ... in class knowledge. The Senior Contract Tools,..

Job Information Humana Medical Director - National Medicare Team in Bethesda Maryland Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..

What You Will Do: General Summary Under limited supervision develops, analyzes, reports and interprets complex financial information to assist management in evaluating and executing the organization's business plans in compliance with ..

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 ..

... 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..

PRN / Grants & Finance Administrator ','2300013A','The Grants & Finance Administrator works directly with the Lead Grants & Finance Coordinator in the management of financial and compliance risk related to sponsored ..

An excellent opportunity to join a team of skilled, enthusiastic, and collegial pediatric/neonatal hospitalists providing compassionate and thorough care. Cover a 10-bed level II special care nursery, well newborn nursery, and ..

Job Information Humana FP&A Lead, Medicaid Market in Bethesda Maryland 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 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 appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

What You Will Do: General Summary Under limited supervision develops, analyzes, reports and interprets complex financial information to assist management in evaluating and executing the organization's business plans in compliance with ..

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

Description Responsible for the financial management of a Specific Research center, this includes Sponsored programs, Special purpose funds, and the center operational budget. The Sr. financial coordinator is responsible to monitor ..

Job Information Humana Medicare Appeals and Grievance Medical Director in Bethesda Maryland Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..

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, ..

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 ..

Professional Billing Representative (PRN | As Needed)','230000XG','The Professional Billing Specialist will be responsible to ensure physician claims are complete, accurate and billed within the expected time frame according to internal billing ..

Sr. Research Program Coordinator II We are seeking a Senior Research Program Coordinator II which involves working closely with the PI and other team members on several projects within the Johns ..

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 ..

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 ..

Lead Preschool Counselor for Noahs Ark Summer Camp JCC of Greater Baltimore 3506 Gwynnbrook Ave Rosenbloom Campus Owings Mills, MD 21117 Principal Responsibilities: SUMMARY: Noah's Ark Summer Camp is about discovery, ..

Position: Technical Director NextGen Technical Assistance Marketplace for Health Supply Chain and Pharmaceutical - Proposal Location: Global Job Id: 1904 # of Openings: 1 Hours: Regular/Full-time Salary: Commensurate with required experience ..