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... Job Information Deloitte C&M - Healthcare - Customer Strategy & Applied ... Manager in Stamford Connecticut Senior Manager/Specialist Lead, Healthcare Customer Strategy In the current ... to precisely reflect..
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 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 ..
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 ..
Hueman is hiring Nurse Practitioners to complete Health Risk Assessments (HRAs) in the home of Medicare and Medicaid members in and around Yonkers, NY. This position offers certified Nurse Practitioners the ..
Job Code 93387 Jobs Rated 122nd Job Description rJob Description r Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, ..
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 ..
Job Code 86888 Job Description rJob Description r Facilitates patient admission, discharge, intra-hospital and inter-facility transfer processes through clinical triage. Acts as the primary liaison between physicians, hospitals and other care ..
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 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 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 69592 Job Description rJob Description r Performs direct and indirect Perioperative tasks for patients having surgical procedures. Performs delegated patient care activities while ensuring patient safety. r Job Responsibility ..
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..
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 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 ..
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 ..
Admin / Clerical (188) Advanced Practice Registered Nurses / Physician Assistants (339) Allied Health (3185) Executive (81) Operations (252) Physicians/Surgeons (1354) Quality/Risk Management (19) Type Contract (1) Fellowship (0) Full Time ..
