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Description Responsibilities The Consultative Pharmacy Technician 3 addresses questions related to specific assigned area and assists with medication research. Triages calls that require consultation with a pharmacist. Makes outbound calls to ..
Description The Consultative Pharmacy Technician 3 certified Pharmacy Technician who acts as an intake for all calls from patients, pharmacies and providers. The Consultative Pharmacy Technician 3 performs advanced administrative/operational/customer support ..
Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the ..
... Technician 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine ... costs, improve patient care and support caregivers through: digital innovations, flexible ... flexible medication access, one-on-one clinical..
... contract payments in our payer systems, and by ensuring correct claims ... their home. We are a healthcare company committed to putting health ... for optimal performance from Humana..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
... Technician 3 performs advanced administrative/operational/customer support duties that require independent initiative ... costs, improve patient care and support caregivers through: digital innovations, flexible ... flexible medication access, one-on-one clinical..
... to achieve quality standards.Provides leadership, support and guidance to facility management ... and technical managers and other support. Provides informal feedback on an ... to direct patient care and..
... complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor ... diagnosis coding is accurate to support billed clinical diagnosis Applies clinical ... credential (CPC, CCS, or CRC)..
... contract payments in our payer systems, and by ensuring correct claims ... job as we are a healthcare company committed to putting health ... for optimal performance from Humana..
... costs, improve patient care and support caregivers through: digital innovations, flexible ... flexible medication access, one-on-one clinical support, and excellent customer service. Responsibilities ... needed Assist other pharmacy technicians...
... providers directly Multi-tasks in different systems Travel up to 20% In ... and network administration in a healthcare company Experience in contract preparation ... groups, ancillary providers and/or hospital..
... costs, improve patient care and support caregivers through: digital innovations, flexible ... flexible medication access, one-on-one clinical support, and excellent customer service. The ... Technician 1 performs basic administrative/clerical/operational/customer..
... costs, improve patient care and support caregivers through: digital innovations, flexible ... flexible medication access, one-on-one clinical support, and excellent customer service. Location: ... care. Oversees the work of..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..
Job Information Humana Quality Improvement Coordinator in Memphis Tennessee Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The ..
Description The Medical Coding Auditor reviews medical records to verify coding (ICD-10 CM/PCS). The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... & Contracting leadership to provide support through complex analytics..
