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Healthcare Credentialing Jobs in Maine

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Company
**********
Location
Auburn, ME
Posted Date
Aug 28, 2021
Info Source
Employer  - Full-Time  90  

Job ID 21000DNRAvailable Openings 1Position Specific Information $5000 Sign on Bonus!PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing ..

 
Company
**********
Location
Portland, ME
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
Biddeford, ME
Posted Date
Oct 20, 2021
Info Source
Employer  - Full-Time  90  

Job ID 21000LYPAvailable Openings 1Position Specific Information Full time available if willing to work in other clinics in the area.PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility ..

 
Company
**********
Location
Portland, ME
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
Portland, ME
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 ..

 
Company
**********
Location
Portland, ME
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
Belfast, ME
Posted Date
Jun 10, 2023
Info Source
Employer  - Full-Time  90  

Genesis HealthCare is one of the leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how ..

 
Company
**********
Location
Portland, ME
Posted Date
Nov 02, 2022
Info Source
Employer  - Full-Time  90  

Description Job Description Summary 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 ..

 
Company
**********
Location
Kennebunk, ME
Posted Date
May 21, 2023
Info Source
Employer  - Full-Time  90  

$5,000 Sign-on Bonus - Limited Time Genesis HealthCare is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and ..

 
Company
**********
Location
Fort Kent, ME
Posted Date
Feb 20, 2022
Info Source
Recruiter  - Part-Time    90  

VISTA's client in Maine is searching for a Hematology Oncologist either part-time or full-time in a clinic setting. The client will consider candidates availability. Location: Maine Duration: As soon as credentialed ..

 
Company
**********
Location
Rockland, ME
Posted Date
Nov 07, 2022
Info Source
Recruiter  - Full-Time  90  

... 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..

 
Company
**********
Location
Portland, ME
Posted Date
Sep 14, 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
Portland, ME
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
Biddeford, ME
Posted Date
May 10, 2023
Info Source
Employer  - Part-Time    90 

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 ..

 
Company
**********
Location
Portland, ME
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
Portland, ME
Posted Date
Nov 02, 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
Portland, ME
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
Portland, ME
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
Portland, ME
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

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

 
Company
**********
Location
Bar Harbor, ME
Posted Date
Nov 07, 2022
Info Source
Recruiter  - Full-Time  90  

... 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..

 
Company
Humana Inc.
Location
Portland, ME
Posted Date
Jul 30, 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
Portland, ME
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
Portland, ME
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 ..

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