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Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as a whole. As ... a whole. As a senior-focused healthcare provider, and subsidiary of..
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 ..
... clinical suspects and appropriate clinical documentation and accurate coding. This role ... adjustment methodology gained from HCC documentation, coding and provider education experience. ... result in improved accuracy of..
Job Information Humana Senior Provider Contracting Professional - TRICARE Behavioral Health in San Antonio Texas Description Responsibilities The position will provide corporate support to the Director of Provider Contracting and is ..
... available outpatient ecosystem resources (PCP, specialist, in-home care, etc.). Youll enjoy ... using evidenced-based criteria within the documentation system Performs expedited, standard, concurrent, ... activities Enters timely and accurate..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in San Antonio Texas Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in San Antonio Texas Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..
... 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..
Description The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's ..
Job Information Conviva Physician - Conviva - San Pedro in San Antonio Texas Description Job Description Summary The Physician serves as a health-care professional and capable of handling a variety of ..
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 Physician- Conviva- San Antonio - Evergreen in San Antonio Texas Description The Physician serves as a health-care professional and capable of handling a variety of health-related problems. The ..
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 ..
Job Information Conviva Physician-Conviva Care Center- Fair-San Antonio, TX in San Antonio Texas Description The Physician serves as a health-care professional and capable of handling a variety of health-related problems. The ..
Job Information Centerwell Bilingual Social Service Resource Coordinator - CenterWell - Houston, TX - (Hybrid) in San Antonio Texas Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the ..
Job Information Humana Physician- Conviva- Legacy in San Antonio Texas Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the ..
... Certified Diabetes Care and Education Specialist-Remote-US in San Antonio Texas Description ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
... 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 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 ..
Job Information Conviva Physician- Conviva- Westover Hills, San Antonio in San Antonio Texas Description The Physician serves as a health-care professional and capable of handling a variety of health-related problems. The ..
... patterned assignments. Responsibilities About Us Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry. The Role The Referral ... their home. We are a..
Job Information Humana FP&A Lead, Medicaid Market in San Antonio Texas Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..
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 ..
