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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 Inpatient Medical Coding Auditor-Remote/Virtual in US in Tallahassee Florida Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Tallahassee Florida Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
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 ..
... providers directly Multi-tasks in different systems Travel up to 20% In ... 2 years of progressive network management experience including physician contracting and ... and network administration in a..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
... services for defects, enhancements and systems as they emerge, as required ... verification via the Department's Learning Management System Systems Analyst: Key Knowledge, Skills The ... experience with implementing..
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 ..
... health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works ... technical experience working with multiple systems and platforms. Intermediate experience using ... Six-sigma experience..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
Job Information Humana Quality Improvement Coordinator in Tallahassee Florida Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The ..
... Humana RN, Associate Director, Utilization Management (Long Term Care) in Tallahassee ... RN, Associate Director of Utilization Management for Long Term Care who ... RN, Associate Director of Utilization..
... efficiency, the efficacy of case management system as well as any ... as well as any other systems and process. Competently performs patient ... patient care assignments and staff..
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 ..
... for one of the leading healthcare organizations. Reporting to Director of ... by delivering personalized, simplified, whole-person healthcare experiences. The Associate Director, Full ... database integrations, network and hosting..
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 ..
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 , ..
... oversight of the end-to-end encounter management workflow for Humana Healthy Horizons ... and solutions to team members, management, and external entities is crucial ... document all encounter errors in..
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 ..
Job Information Humana Care Manager, Telephonic Nurse 2/ Adult and Pediatric Sickle Cell Disease - NORTH FL Counties in Tallahassee Florida Description The Care Manager, Telephonic Nurse 2 , in a ..
... and procedures.nResponsible for using pharmacy systems to obtain patient and drug ... in the operation of pharmacy systems and cashiers in the operation ... Store Manager including utilizing pharmacy..
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 ..