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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,..
Job ID 21000N35Available Openings 1PURPOSE AND SCOPE: Organizes, performs, and records high quality, safe ultrasounds that require ingenuity, initiative and independent judgment, as ordered by physicians. Performs prescribed procedures in accordance ..
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 ..
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 ..
Posted: 27-Feb-22 Location: Phoenix, Arizona Salary: Open Categories: General Nursing Internal Number: R67348 Primary City/State: Phoenix, Arizona Department Name: PCU-Neuro-Trauma-Hosp Work Shift: Evening Job Category: Nursing life can be better. Our ..
PURPOSE AND SCOPE:Provides nursing care to the patient during pre, intra, and post-operative phases. Assists physicians by giving moderate sedation and has the knowledge and experience with medications used and the ..
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 ..
Qualifications nn n To qualify for this position, you must meet the basic requirements as well as any additional requirements (if applicable) listed in the job announcement. Applicants pending the ..
The historic Arizona Biltmore is looking for a Massage Therapist to join the Spa Team at the beautiful Tierra Luna Spa (https://www.arizonabiltmore.com/wellness/) ! This luxurious resort reopened in 2021 after undergoing ..
Posted: 26-Feb-22 Location: Phoenix, Arizona Salary: Open Categories: General Nursing Internal Number: R59856 Primary City/State: Phoenix, Arizona Department Name: ICU-Trauma-Surgical-Hosp Work Shift: Evening Job Category: Nursing $10,000 Sign-on Bonus! Banner Health ..
PURPOSE AND SCOPE: Promotes quality patient care, ongoing customer support and case management for Fresenius Medical Care (FMCNA) renal patient population (internal and external) by providing guidance, support, care coordination, education ..
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 ..
We are currently looking for au00a0Gastroenterology physician locum tenens support inu00a0Arizona. VISTA's client needs April through 2024 coverage by a provider whou00a0may support inpatient hospital coverage, endoscopy procedures, and outpatient clinic. ..
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 Network Operations Coordinator 3 manages provider data including but not limited to demographics and contract accuracy. Additional Information - How we Value You Benefits starting day 1 of employment ..
Posted: 01-Mar-22 Location: Phoenix, Arizona Salary: Open Categories: Nursing Support Internal Number: R67770 Primary City/State: Phoenix, Arizona Department Name: M/S-Oncology-Hosp Work Shift: Night Job Category: Clinical Care ***$1500 Sign on Bonus ..
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..
Job Information Humana Strategy Advisor, Healthcare Strategy in Phoenix Arizona Description ... Arizona Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..