Healthcare Credentialing Jobs in Aberdeen, South Dakota | HealthcareCrossing.com


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46

Healthcare Credentialing Jobs in Aberdeen





Job info
 
Company
**********
Location
Aberdeen, SD
Posted Date
Aug 18, 2022
Info Source
Employer  - Full-Time  90  

... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... Medicaid business partners, including: Contracting, Credentialing, Referral/Authorizations, Claims, Grievance and Appeals, ... a Bachelor's degree in Business,..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Feb 07, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Medical Director - Texas in Aberdeen South Dakota Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Feb 11, 2022
Info Source
Employer  - Full-Time  90  

... whether services provided by other healthcare professionals are in agreement with ... whether services provided by other healthcare professionals are in agreement with ... organizations, and able to pass..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Mar 24, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Medical Director - Medicare Pharmacy Appeals in Aberdeen South Dakota Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments ..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Dec 23, 2022
Info Source
Employer  - Full-Time  90  

... of services provided by other healthcare professionals in compliance with review ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Oct 08, 2022
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Feb 19, 2022
Info Source
Employer  - Full-Time  90  

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

 
Company
**********
Location
Aberdeen, SD
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Strategy Advisor, Healthcare Strategy in Aberdeen South Dakota ... Dakota Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Oct 05, 2022
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Apr 07, 2023
Info Source
Employer  - Full-Time  90  

Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Professional work assignments involve moderately ..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Mar 21, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Medicare Appeals and Grievance Medical Director in Aberdeen South Dakota Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare ..

 
Company
Humana Inc.
Location
Aberdeen, SD
Posted Date
Jul 29, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

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, ..

 
Company
Humana Inc.
Location
Aberdeen, SD
Posted Date
Oct 08, 2022
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
Humana Inc.
Location
Aberdeen, SD
Posted Date
Apr 22, 2023
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Dec 11, 2022
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Dec 25, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Jun 11, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

 
Company
**********
Location
Aberdeen, SD
Posted Date
May 13, 2022
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Aberdeen, SD
Posted Date
Nov 13, 2022
Info Source
Employer  - Full-Time  90  

Description The Senior Professional, Medicaid Network Strategy will be accountable for supporting the development of Humana Healthy Horizon's (Medicaid) network and provider strategy for its growth markets. This strategist will provide ..

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