Healthcare Contract Specialist Jobs in Port Jefferson

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 - ... Bridgeport Connecticut Description The Senior Contract Tools, Education, Processes Professional builds ... in class knowledge. The Senior Contract Tools,..

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 ..

Job Code 93949 Job Description r r Responsibilities: r r r r Prepares surgical pathology specimens. Ensures appropriate specimen accessioning, pertinent clinical information and studies. Dissects surgical specimens while describing the ..

... 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..

Admin / Clerical (197) Advanced Practice Registered Nurses / Physician Assistants (340) Allied Health (3222) Executive (80) Operations (255) Physicians/Surgeons (1359) Quality/Risk Management (18) Type Contract (1) Fellowship (0) Full Time ..

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

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 ..

Hueman is hiring Nurse Practitioners and Physician Assistants to complete Health Risk Assessments (HRAs) in the home of Medicare and Medicaid members in and around Bay Shore, NY. This position offers ..

Job Information Humana Medical Director - Florida Medicaid in Bridgeport Connecticut Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

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

Job Information Humana FP&A Lead, Medicaid Market in Bridgeport Connecticut 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 home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..

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

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 ..

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 ..

Job Code 87050 Job Description rJob Description r Performs patient care under the physicians/nurses direct supervision. Duties include, but are not limited to; preparing patient for physician, administering, obtaining and recording ..

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 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 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 Code 91153 Job Description rJob Description r Performs patient care under the physicians/nurses direct supervision. Duties include, but are not limited to; preparing patient for physician, administering, obtaining and recording ..