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Description The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work ..
Description The Risk Adjustment Representative 3 conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other ..
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
Job Information Centerwell RN Account Executive in ... patient demographic, clinical and payer information on company approved forms and ... plan. Maintains detailed territory management systems records. Planning and achievement..
Job Information Humana Care Coach 1 - Lee/Charlotte/Sarasota/De Soto County, FL in Punta Gorda Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain ..
Job Information Humana Medicaid Encounters Lead (Florida ... document all encounter errors in systems/databases; perform encounter data reconciliation and ... Qualifications Bachelor's degree in a healthcare field or equivalent experience...
Job Information Centerwell RN Clinical Manager in ... case referrals. Reviews available patient information related to the case, including ... as well as any other systems and process. Competently performs..
Job Information Humana Care Coach 1 - Manatee/ Charlotte/Sarasota/De Soto County, FL in Punta Gorda Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or ..
Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work ..
Admin / Clerical (0) Advanced Practice Registered Nurses / Physician Assistants (2) Allied Health (0) Executive (51) General Nursing (0) Operations (0) Physicians/Surgeons (4643) Quality/Risk Management (0) Type Contract (3) Fellowship ..
Job Information Humana Care Coach 1 - Lee/Charlotte/Sarasota/De Soto County, FL in Fort Myers Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain ..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the business needs. Responsibilities The Intern - Care Manager, Registered ..
Lee Health is seeking Primary Care Advance Practice Providers (NP/PA)! Lee Health is a non-profit organization with nearly 90 practice locations throughout Southwest Florida. We have more than 16,000 employees, 4,500 ..
Job Information Kindred at Home RN Clinical ... case referrals. Reviews available patient information related to the case, including ... as well as any other systems and process. Competently performs..
Job Information Kindred at Home RN Account ... patient demographic, clinical and payer information on company approved forms and ... plan. Maintains detailed territory management systems records. Planning and achievement..
... experience with Medical Records, hospital, healthcare and/or medical office setting Proficiency ... ability to quickly learn new systems This job is part of ... environment/managed care Medical terminology Additional..
Admin / Clerical (0) Advanced Practice Registered Nurses / Physician Assistants (4) Allied Health (0) Executive (50) General Nursing (0) Operations (0) Physicians/Surgeons (4689) Quality/Risk Management (0) Type Contract (3) Fellowship ..
... technical experience working with multiple systems and platforms. Intermediate experience using ... protect member PHI / HIPAA information. Humana and its subsidiaries require ... Six-sigma experience Knowledge of Humana..
Job Information Humana RN, Associate Director, Utilization ... procedural and Florida Agency for Healthcare Administration (ACHA). Ensure adoption and ... compliance with Florida Agency for Healthcare Administration (ACHA), NCQA, Department..