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Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
Description o Our search is focused on identifying an individual contributor who will take ownership of Medicare risk adjustment programs that fit best with our providers by implementing operational and clinical ..
Description Our search is focused on identifying an individual contributor who will take ownership of Medicare risk adjustment programs that fit best with our providers by implementing operational and clinical best ..
Description Responsibilities Humana's Primary Care Organization is one of the largest and fastest growing value-based, senior primary care groups in the country, providing care to over 200,000 seniors across 175 sites ..
Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..
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 ..
Posted: 01-Mar-22 Location: Mesa, Arizona Salary: Open Categories: Admin / Clerical Internal Number: R67571 Primary City/State: Mesa, Arizona Department Name: C/P-BIMC Hospitalists-Clinic Work Shift: Varied Job Category: Administrative Services Good health ..
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 ..
... AZ in Phoenix Arizona Description Healthcare isn't just about health anymore. ... of our members, and the healthcare industry as a whole. The ... patient appointments Collect co-pays and..
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 ..
... 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..
... you. Banner Health is seeking Healthcare Scheduling Specialists to join our Contact Center ... to learn about the patient healthcare experience in an ambulatory call ... our customers. As..
The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner. This candidate should have a solid understanding of the Revenue Cycle as it ..
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 ..
... AZ in Mesa Arizona Description Healthcare isn't just about health anymore. ... of our members, and the healthcare industry as a whole. The ... patient appointments Collect co-pays and..
Job Information Humana FP&A Lead, Medicaid Market in Phoenix Arizona Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
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 Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Phoenix Arizona Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Posted: 23-Feb-22 Location: Glendale, Arizona Salary: Open Categories: Hospitality, Facility, Environmental Support Internal Number: R55897 Primary City/State: Glendale, Arizona Department Name: Work Shift: Varied Job Category: General Operations and Culinary Services ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
