Healthcare Credentialing Jobs in Bridgeport

Job ID 21000JSKAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..

... 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,..

Job ID 21000M0KAvailable Openings 1Position Specific Information Must have LMSW LCSW preferred, but not required PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home ..

Job Information Humana Manager, Credentialing in Bridgeport Connecticut Description Responsibilities ... a team of certification and credentialing professionals that to ensure required ... contract requirements. Work collaboratively with credentialing leaders..

Job Information Humana Supervisor, Credentialing in Bridgeport Connecticut Description Responsibilities ... Connecticut Description Responsibilities The Supervisor, Credentialing Operations is responsible for supervising ... years of experience in provider credentialing and/or..

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 78500 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, ..

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 ..

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 ..

Job Code 71368 Jobs Rated 18th Job Description rJob Description r Sign-on bonus available. Evaluates and treats patients with disabilities, injuries, and/or diseases using physical, chemical and mechanical means in accordance ..

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

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 74444 Job Description rJob Description r Supervises and coordinates the staff and daily activities of staff in a laboratory. Drives results in a fast-paced environment by providing operational leadership ..

Job Code 78293 Jobs Rated 102nd Job Description rJob Description r 1.Performs a variety of functions and technical procedures necessary for patient admission, assessment, diagnosis, treatment, follow-up, and outcome evaluation. 2.Participates ..

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 85704 Job Description rJob Description r Performs billing, collections, third party reimbursements, computer data entry and retrieval. Helps in posting charges to accounts. r Job Responsibility r r r ..

ADDITIONAL LOCATION(S):  N/A   DIVERSITY - INNOVATION - CARING - GLOBAL COLLABORATION - WINNING SPIRIT- HIGH PERFORMANCE At Boston Scientific, we'll give you the opportunity to harness all that's within you by ..

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 ..

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 ..

... 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..

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 ..

FT Faculty/Clinical Coordinator, Radiography AS Program, College of Health Professions Category: Faculty Subscribe: Department: Health Science [HSC] Locations: Fairfield, CT Posted: Mar 2, 2023 Closes: Open Until Filled Type: Full-time Position ..

Job Code 78760 Jobs Rated 18th Job Description rJob Description r Evaluates and treats patients with disabilities, injuries, and/or diseases using physical, chemical and mechanical means in accordance with the written ..