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Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative medicines focused on helping millions of patients around the world in disease areas ..
Job ID 21000KK7Available Openings 1Position Specific Information West LA/ETEX - Zone 3 Shreveport Monroe Bossier PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the ..
... 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 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 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 ..
Education Required - High School diploma or equivalent Formal training in an approved Nursing Assistant program or equivalent experience. Work Experience Required - None Preferred- 1 yr experience in a clinical ..
Job Information Humana Strategy Advisor, Healthcare Strategy in Metairie Louisiana Description ... Louisiana Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..
... 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 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 Medicaid- Behavior Health Provider Relations (PR) team maintains frontline relationships with network providers. Provider relations team members facilitate transparent and efficient processing of provider administrative matters to ensure reliable provider ..
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 ..
... CarenLocation: New Orleans, LAn MPLT Healthcare is looking for physicians who ... benefits of working with MPLT Healthcare include:nn Flexibility - work when, ... access to your personal MPLT..
About this role:As a Social Worker with Fresenius Medical Care, you will provide psychosocial services for our dialysis clinic patients. You will work with the health care team to promote positive ..
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 ..
... nLocation: New Orleans, LA nMPLT Healthcare is looking for physicians who ... benefits of working with MPLT Healthcare include:nn Flexibility u2013 work when, ... access to your personal MPLT..
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 ..
... 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 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 ..
