Healthcare Management Systems Jobs in Toledo

Job ID 21000IZGAvailable Openings 2PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..

Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Toledo Ohio Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Toledo Ohio Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..

... 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..

POSITION FEATURES:Join our team! • Rated as one of Forbes’ U.S. Best Employers • Paid one-on-one training • Tuition reimbursement • Competitive Pay & Benefits  • Paid time off • 401(K) ..

Job Information Humana Quality Improvement Coordinator in Toledo Ohio Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The ..

POSITION FEATURES:Join our team! • Rated as one of Forbes’ U.S. Best Employers • Paid one-on-one training • Tuition reimbursement • Competitive Pay & Benefits  • Paid time off • 401(K) ..

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 ..

Description Humana Healthy Horizons in Ohio is seeking a Care Guide/Care Guide Plus (Care Coach 1) who will assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness ..

... 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..

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 Senior Provider Contracting Professional - OH Medicaid in Toledo Ohio Description The Senior Provider Contracting Professional initiates, negotiates, and executes behavioral health physician, hospital, and/or other provider contracts ..

Part-Time & Full-Time Wound Care Opportunities - Multiple Locations Available (Ohio)!!rnrnGroup is expanding! We are seeking Board Certified or Board Eligible Primary Care Physicians, Surgeons, and Wound Care Physicians to provide ..

PURPOSE AND SCOPE:Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with ..

PURPOSE AND SCOPE:Supports FMCNA's mission vision core values and customer service philosophy.  Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy requirements.Functions as part of the hemodialysis ..

Description Humana Healthy Horizons in Ohio is seeking a Care Guide/Care Guide Plus (Care Coach 1) who will assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness ..

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 ..

... choose to receive their care management from the MCO). Care Manager ... performance from Humana At Home systems if 25Mx10M Driver's License, Transportation, ... for TB. Preferred Qualifications Case..

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Toledo Ohio Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..

... providers on utilization and medical management processes. Enters and maintains pertinent ... clinical information in various medical management systems. Understands own work area professional ... Excel, PowerPoint, Outlook, and..

... RISE Plan, and/or a Care Management Entity, or who choose to ... choose to receive their care management from the MCO). Care Manager ... Plan, CPCs, and/or a Care..

... providers on utilization and medical management processes. Enters and maintains pertinent ... clinical information in various medical management systems. Understands own work area professional ... Excel, PowerPoint, Outlook, and..

Job Information Humana Care Guide - Physical Health in Toledo Ohio Description The Care Guide (Care Coach 1) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness ..