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... 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,..
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 ..
AnesthesiologistnLocation: Richmond, VAnMPLT Healthcare is looking for physicians who ... benefits of working with MPLT Healthcare include:nn Flexibility u2013 work when, ... access to your personal MPLT Healthcare consultantn Dedicated..
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'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 ..
... and malpractice We simplify the credentialing and privileging process We provide ... Assistant Therapy Medical Lab Pharmacy Healthcare Mgmt. Resources For Employers About ... Blog Why CompHealth Why CompHealth..
Description Join Humana's Talent Acquisition organization to support our growing Healthcare Services division! The Senior Physician Recruiter recruits qualified physicians for medical staff and assists in development of strategic physician recruitment ..
Job Information Humana Supervisor, Credentialing in Glen Allen Virginia Description ... Virginia 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 ..
... 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 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 ..
We offer Licensed Therapists (LPC, LCSW, LMFT): Sign-On Bonus! Full-Time W2 positions Strong Work/Life balance. Flexible Schedule, Set your own hours! On-Site & Hybrid Positions , offering both In-person & Remote ..
... Hospital, you come first. HCA Healthcare has committed up to $300 ... Plan with 10% off HCA Healthcare stocku003cbru003enu003c/liu003enu003cliu003eFamily support through fertility and ... patient account resolution, for HCA..
Job Information Humana Strategy Advisor, Healthcare Strategy in Glen Allen Virginia ... Virginia Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..
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 ..
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 Information Humana Manager, Credentialing in Glen Allen Virginia Description ... a team of certification and credentialing professionals that to ensure required ... contract requirements. Work collaboratively with credentialing leaders..
