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Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
We Are Hiring Ascension Providence is Mobile’s only A Rated Leapfrog Hospital and Mobile’s only CMS four-star hospital! We believe our people are our strength and we invest in them. We ..
... Certified Diabetes Care and Education Specialist-Remote-US in Birmingham Alabama Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. Functions as the hemodialysis team leader ..
Admin / Clerical (197) Advanced Practice Registered Nurses / Physician Assistants (340) Allied Health (3222) Executive (80) Operations (255) Physicians/Surgeons (1359) Quality/Risk Management (18) Type Contract (1) Fellowship (0) Full Time ..
Job Information Humana FP&A Lead, Medicaid Market in Birmingham Alabama Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
... is working hard at lowering healthcare administrative costs for federal government ... current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), ... quantities derived from medical record..
Job Information Humana Medicare Appeals and Grievance Medical Director in Birmingham Alabama Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
Position Summary As a Clinical Research Coordinator II, you will work closely with the Principal Investigator, assisting with research study coordination and implementation, protocol eligibility, and participating in the informed consent ..
Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Birmingham Alabama Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Birmingham Alabama Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and scope ..
... is working hard at lowering healthcare administrative costs for federal government ... and modifiers from medical record documentation. Identifies and abstracts information from ... indicators that may require provider..
!*! To monitor and control one or more computer systems through operation of the central console and on-line terminals. To operate auxiliary equipment directly associated with computer systems. To continuously observe ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... Qualifications Bachelor's degree or significant..
Job Information Humana Senior Provider Contracting Professional - TRICARE Behavioral Health in Birmingham Alabama Description Responsibilities The position will provide corporate support to the Director of Provider Contracting and is responsible ..
... is looking for an experienced Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... areas Bachelor's degree or significant..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Birmingham Alabama Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
Details Specialty: Interventional Cardiology Schedule: Full-time Practice Detail: 8-person employed Cardiology Practice EMR System: Athena Facility: Cardiology Specialists of Birmingham at Ascension St. Vincent's Location: Birmingham, AL Visa Eligibility: None Benefits ..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..