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Description The Care Management Support Professional 2 contributes to the administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..
Job Information Humana Healthcare Data Analyst in Louisville Kentucky Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. ..
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 ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
... at Home Home Health Clinical Specialist in Louisville Kentucky As a ... As a Clinical Home Health Specialist , you will call on ... of the territory’s Care Transitions..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
... ability to efficiently submit medical insurance claims for all payers including ... Role model for all Billing Specialist, flexible and coordinate billing work ... leadership.n Process claims identified from..
Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..
Job Information Centerwell Health Information Management Specialist (HIMS) - CenterWell - Louisville, KY - Churchill Downs in Louisville Kentucky Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the ..
Description The medical utilization management lead will oversee projecting and tracking of medical trend bender strategies, assist with medical strategy value assessments, and support pipeline medical modeling needs. We are seeking ..
Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..
Description The Health Information Management Professional 2 ensures data integrity for claim errors while maintaining ongoing research and special projects. The Health Information Management Professional 2 work assignments are varied and ..
Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ..
Description As a Senior Software Engineer within Centerwell Clinical IT engineering team, you will develop applications which have a distinct positive impact upon members services utilization and case management. He/ She ..
Job Information Humana CenterWell Physician in Louisville Kentucky Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating ..
... Kindred at Home Medical Records Specialist in Louisville Kentucky The primary ... function of the Medical Records Specialist is to provide clerical support ... driver’s license and automobile liability..
... Certified Diabetes Care and Education Specialist-Remote-US in Louisville Kentucky Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..
... Information Centerwell Medical Front Office Specialist - Outer Loop Clinic in ... Clinic in Louisville Kentucky Description Healthcare isn't just about health anymore. ... of our members, and the..
... Information Humana Medical Records Retrieval Specialist - Remote KY (Lexington/Richmond) in ... Description The Medical Records Retrieval Specialist (Risk Adjustment Representative) travels to ... Responsibilities The Medical Records Retrieval..
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 ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
... Information Humana Medical Records Retrieval Specialist - Remote KY (Louisville) in ... Description The Medical Records Retrieval Specialist (Risk Adjustment Representative) travels to ... Responsibilities The Medical Records Retrieval..
