Healthcare Provider Jobs in Columbia

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 ..

Job ID 21000KFJAvailable Openings 1Position Specific Information This is a remote opportunity within the Nashville, TN or St. Petersburg, FL area. May require some in-office work due to pharmacy licensing requirements. ..

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

Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..

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 ..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

Job Information Kindred at Home Licensed Practical Nurse Home Health PRN in Columbia Tennessee As a Home Health LPN, you will: Provide professional nursing services under the direction of a RN ..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain high quality ..

Job Information Humana Senior Provider Contracting Professional - Remote (EST ... Columbia Tennessee Description The Senior Provider Contracting Professional initiates, negotiates, and ... executes physician, hospital, and/or other provider contracts..

Job Information Humana Manager, Fraud and Waste-Remote US in Columbia Tennessee Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..

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

Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... closely with our local market Provider Engagement, MRA, Clinical,..

Description The Provider Contracting Executive initiates, negotiates, and ... executes physician, hospital, and/or other provider contracts and agreements for an ... that provides health insurance. The Provider Contracting Executive works..

Details Department: ST Heart - Columbia Schedule: Full-time Days Location: Rosewood Dr, Columbia, TN Benefits Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & ..

... Programs Analyst supports successful value-based provider relationships in the Service Fund ... a focus on improving the provider experience and achieving path-to-value goals ... through analysis and reconciliation of..

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 ..

Job Information Kindred at Home Licensed Practical Nurse Home Health PRN in Franklin Tennessee As a Home Health LPN, you will: Provide professional nursing services under the direction of a RN ..

Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The ..

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

Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..

PURPOSE AND SCOPE:  The Credentialing Specialist is responsible for verifying submitted Credentialing documentation. for all specialties that provide services to the organization's members. The Credentialing Specialist incumbent will meet all credentialing ..