Healthcare Contracting Jobs in South Charleston

Job ID 21000FMNAvailable Openings 2 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..

Job Information Humana Contract Tools, Education, Processes Professional - Louisville, KY or Remote (EST hours) in Charleston West Virginia Description The Contract Tools, Education, Processes Professional builds templates, standard documentation, policy ..

Job Information Humana Senior Contract Tools, Education, Processes Professional - Remote in Charleston West Virginia Description The Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and protocol, case ..

Description The Senior Provider Contracting Professional initiates, negotiates, and executes ... health insurance. The Senior Provider Contracting Professional work assignments involve moderately ... factors. Responsibilities The Senior Provider Contracting Professional..

Description The Provider Contracting Executive initiates, negotiates, and executes ... provides health insurance. The Provider Contracting Executive works on problems of ... to substantial. Responsibilities The Provider Contracting Executive communicates..

Description The Senior Provider Contracting Professional initiates, negotiates, and executes ... health insurance. The Senior Provider Contracting Professional work assignments involve moderately ... factors. Responsibilities The Senior Provider Contracting Professional..

TRS Healthcare is seeking an experienced Emergency ... 13 weeks Pay: $2666.16/Week TRS Healthcare is seeking a Registered Nurse ... Life Support certification About TRS Healthcare: TRS Healthcare is a..

Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..

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 Director, Provider Contracting - Behavioral Health Medicaid in ... Virginia Description The Director, Provider Contracting - Behavioral Health Medicaid initiates, ... insurance. Responsibilities The Director, Provider Contracting..

Start Date: 4/6/23 DISRUPTING THE TYPICAL AGENCY MODEL Managed by an experienced team of Healthcare Staffing Pioneers, Accountable thinks a little differently from the normal staffing structure out there. Our team ..

... o And more The Provider Contracting Executive initiates, negotiates, and executes ... contracts and agreements. The Provider Contracting Executive works on problems of ... to substantial. Responsibilities The Provider..

Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional ..

Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... Provider Engagement, MRA, Clinical, & Contracting leadership to provide..

Description The Provider Contracting Executive initiates, negotiates, and executes ... provides health insurance. The Provider Contracting Executive works on problems of ... HI as needed. The Provider Contracting Executive communicates..

Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..

Description The Provider Contracting Professional 2 initiates, negotiates, and ... contracts and agreements. The Provider Contracting Professional 2 work assignments are ... of action. Responsibilities The Provider Contracting Professional 2..

Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The ..

The Case Manager ensures the collaborative process of assessment, planning, facilitation and advocacy for options and services to meet the patient's health needs with quality and cost-effective outcomes as the priorities. ..

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..

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 Senior Market Development Professional provides support to assigned health plan(s) relative to Behavioral Health RFPs, product implementations and operational support. The Senior Market Development Professional work assignments involve moderately ..

Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) ... Virginia Description The Senior Provider Contracting Professional initiates, negotiates, and executes ... health insurance. The Senior Provider Contracting..