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Coding Specialist We have exciting employment opportunities ... Position Summary The HIM Coding Specialist will handle medical coding and ... and procedure codes based upon documentation in the medical record..
... of coding practices and clinical documentation, grievance and appeals processes, and ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..
Job Information Humana Clinical Formulary Strategy Pharmacist - Work At Home in Minneapolis Minnesota Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug development pipeline, and medical literature, while providing clinical ..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
Accord is seeking a Community Support Housing Specialist to support individuals with mental health or developmental disabilities in the community to help them reach their personal goals and find stable housing ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Minneapolis Minnesota Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Job Information Humana FP&A Lead, Medicaid Market in Minneapolis Minnesota Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
Company DescriptionWhen it comes to being wild, we know a thing or two. We're not afraid of trying something new or the hard work it takes to make it happen. It's ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Minneapolis Minnesota Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
Job Code 2172734I Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ..
2 BC Hospitalists needed near Minneapolis, MN. n nSchedule: 7on/off, 8a-6p nDay: 12-14 patients, 2 can be seen with APP. nDay: 1-2 admissions, APP can help with 1 admission. nICU is ..
**SENIOR REGULATORY AFFAIRS SPECIALIST - CARDIAC SURGERY** Cardiac surgery ... the only way to drive healthcare forward and remain a global ... Lives** The **Senior Regulatory Affairs Specialist** is responsible..
... 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..
... 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 The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Provider Contracting Executive engages in strategic negotiation and relationship-building with a variety of ..
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 ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Minneapolis Minnesota Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Minneapolis Minnesota Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and scope ..
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 ..
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 ..
... Learning Manager and Peer Learning Specialist and as a member of ... closely with the Peer Learning Specialist you will assist in maintaining ... in maintaining student records, programme..
Job Code 2172550I Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ..