Healthcare Documentation Specialist Jobs

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 ..

Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Springfield Missouri Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..

... 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 Medical Director - S. Florida in Springfield Missouri Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

Job Information Humana Strategy Advancement Lead - Humana Care Management in Springfield Missouri Description The Strategy Advancement Lead provides data-backed strategic direction to identify and address business issues and opportunities related ..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Springfield Missouri Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..

... whether services provided by other healthcare professionals are in agreement with ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..

Job Information Humana Care Management Supervisor (Prescription Assistance Program)- CenterWell-Remote in Springfield Missouri Description The Supervisor, Care Management leads teams of health professionals responsible for assessing and evaluating patient's needs and ..

... 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..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in Springfield Missouri Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..

Job Information Humana Manager, Pharmacy and Medical Trend in Springfield Missouri Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and medical, ..

Job Information Humana Medicare Appeals and Grievance Medical Director in Springfield Missouri Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..

... Processes Professional builds templates, standard documentation, policy and protocol, case studies, ... Qualifications Bachelor's Degree in Business, Healthcare Administration, Mathematics and/or related field ... implementation technical experience Medicaid experience..

Job Information Humana Clinical Formulary Strategy Pharmacist - Work At Home in Springfield Missouri Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug development pipeline, and medical literature, while providing clinical ..

Job Information Humana Clinical Pharmacy Lead, Remote in Springfield Missouri Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and ..

Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Springfield Missouri Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and scope ..

Job Information Humana FP&A Lead, Medicaid Market in Springfield Missouri Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..

... 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..

... Certified Diabetes Care and Education Specialist-Remote-US in Springfield Missouri Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..

... looking for a Social Services Specialist to join our team (Part ... our team (Part Time/20hrs). Genesis HealthCare is one of the nation's ... the nation's leading providers of..

... of services provided by other healthcare professionals in compliance with review ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..

Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Springfield Missouri Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team ..