Healthcare Contract Specialist Jobs in Nebraska

Denial Specialist-Coding - Revenue Cycle – FT ... and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts. ... practices that relate to the healthcare field, and specific policies,..

... 340B Program including split-billing (outpatient), contract and specialty pharmacies. The Division ... with vendors, wholesalers, manufacturers, and contract pharmacies. The Division 340B Program ... Drug Discount Program, including ambulatory,..

Job Information Humana Senior Contract Tools, Education, Processes Professional - ... Omaha Nebraska Description The Senior Contract Tools, Education, Processes Professional builds ... in class knowledge. The Senior Contract Tools,..

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

1 applicant Apply 18 positions 1 applicant Report a probelm Originally Posted : February 28, 2022 | Expires : March 30, 2022 Details Job Type Full-time Employee Show Shift Custom Salary ..

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 ..

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

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

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 ..

Job Information Humana Medical Director - Florida Medicaid in Omaha Nebraska 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..

... by company What type of contract is offered for this position? ... March ( Today ) Visitation Specialist Tier 2 - PLADC / ... 2 - PLADC / Intake..

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 FP&A Lead, Medicaid Market in Omaha Nebraska 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 ..

Apply 18 positions Report a probelm Originally Posted : February 28, 2022 | Expires : March 30, 2022 Details Job Type Full-time Employee Show Shift Custom Salary Unspecified Benefits Flexible Spending ..

Job Duties Provide case management to clients in a variety of community settings, to include client homes, prisons, and jails. Establish and maintain positive working relationships with internal and external parties. ..

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, ..

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 ..

... 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..

Apply 18 positions Report a probelm Originally Posted : February 28, 2022 | Expires : March 30, 2022 Details Job Type Full-time Employee Show Shift Custom Salary Unspecified Benefits Flexible Spending ..

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 ..