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Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative medicines focused on helping millions of patients around the world in disease areas ..
Job Information Humana Clinical Vendor Management Lead - Remote, FL ... Tallahassee Florida Description The Clinical Vendor Management Lead works as clinical ... vendors and organization. The Clinical Vendor Management..
... Administration support experience in a healthcare industry Familiarity with care and ... done through an approved Humana vendor, and unvaccinated associates should follow ... their home. We are a..
... education. Required Qualifications - What it takes to Succeed Bachelor's Degree ... done through an approved Humana vendor, and unvaccinated associates should follow ... their home. We are a..
Job Information Humana Care Coach 1 - Leon/Madison/Taylor County, FL in Tallahassee Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
... concepts to test Participates in vendor contract planning and implementing new ... Management experience Specialty Pharmacy experience Healthcare Industry experience Experience analyzing data, ... Growth mindset Project management experience..
... and network administration in a healthcare company Experience in contract preparation ... done through an approved Humana vendor, and unvaccinated associates should follow ... their home. We are a..
Job Information Humana Care Manager, Onsite / Telephonic Nurse 2/ Adult and Pediatric Sickle Cell Disease - NORTH FL Counties in Tallahassee Florida Description The Care Manager, Telephonic Nurse 2 , ..
Description CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works on ..
Description The Medical Coding Coordinator 2 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
Job Information Humana Provider Contracting Professional 2 in Tallahassee Florida Description The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. Responsibilities The Provider ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..
... procedural and Florida Agency for Healthcare Administration (ACHA). Ensure adoption and ... compliance with Florida Agency for Healthcare Administration (ACHA), NCQA, Department of ... Bachelor's Degree in health services,..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
... Qualifications Bachelor's degree in a healthcare field or equivalent experience. 5 ... years of experience in managed healthcare analysis, preferably as a Business ... done through an approved Humana..
Job Information Humana Senior Provider Contracting Professional in Tallahassee Florida Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization ..
Description The Grievances & Appeals Professional 2 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..
Description The Care Management Support Assistant 2 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 ..
Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
