Healthcare Credentialing Jobs in Vermont | HealthcareCrossing.com


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60

Healthcare Credentialing Jobs in Vermont





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Job info
 
Company
**********
Location
Montpelier, VT
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
Richmond, VT
Posted Date
Feb 22, 2022
Info Source
Employer  - Full-Time  90  

... Adult PsychiatrynLocation: Richmond, VTn nMPLT Healthcare is looking for Physicians who ... benefits of working with MPLT Healthcare include:nn Flexibility - work when, ... access to your personal MPLT..

 
Company
**********
Location
Montpelier, VT
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
Montpelier, VT
Posted Date
Mar 13, 2022
Info Source
Employer  - Full-Time  90  

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

 
Company
**********
Location
Montpelier, VT
Posted Date
Jun 11, 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
Montpelier, VT
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
Montpelier, VT
Posted Date
Oct 05, 2022
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Montpelier, VT
Posted Date
Apr 10, 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
Humana Inc.
Location
Montpelier, VT
Posted Date
Jul 29, 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
Montpelier, VT
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

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

 
Company
**********
Location
Montpelier, VT
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..

 
Company
Humana Inc.
Location
Montpelier, VT
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
Montpelier, VT
Posted Date
May 13, 2022
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
Montpelier, VT
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
Montpelier, VT
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
Montpelier, VT
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
Montpelier, VT
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
Montpelier, VT
Posted Date
Dec 11, 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
Montpelier, VT
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
Barre, VT
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
Montpelier, VT
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
Montpelier, VT
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
Montpelier, VT
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..

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