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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 Risk Adjustment Representative 2 (Medical Record Retrieval Rep) performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments Responsibilities Be a part of ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
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, ..
... Job Posting: Call Center Registration Specialist (Full time: Monday-Friday 8:00am-4:30pm) Employment ... only locally governed, community-owned, not-for-profit healthcare system. Our system includes a ... Vision: To be the leading..
Cardiology Advanced Practitioner Opportunity in Springdale, AR! Mercy Clinic Cardiology - Springdale is powered by 1 Physician, 1 Advanced Practitioner, and an engaged support staff focused on quality patient care. Prior ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
... Job Posting: Call Center Registration Specialist (Monday - Friday 9:30am - ... only locally governed, community-owned, not-for-profit healthcare system. Our system includes a ... Vision: To be the leading..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
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 Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Job Location: Fayetteville, AR Job Type: Part Time Department : ER Admitting Shift : 7AM to 7PM Job Posting: Admitting Specialist (Saturday & Sunday 7am - 7pm) Employment Type: Part Time ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
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 ..
Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that will ..
Description The Clinical Applications Trainer (aka Senior Technology Sales Professional) promotes and sells a portfolio of technical products and/or services and solutions directly to current and new end customers. The Senior ..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
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 ..
... leader in medical technology and healthcare solutions.** **Rooted in our long ... years of work experience in healthcare, field sales or work experience ... years of work experience in..
Job Location: Fayetteville, AR Job Type: Part Time Department : ER Admitting Shift : Saturday/Sunday Shifts Vary Job Posting: Admitting Specialist (Saturday 6:30pm - 7am; Sunday 5pm - 1am) Employment Type: ..
... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..
