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Description The Senior Policy Governance Professional policy Governance is the combination of Compliance processes established and executed that are reflected in the organization's structure and how it is managed and led ..
Description Humana is seeking a Genetic Counselor to assist in the detecting and investigation of potential fraud and provide clinical guidance to the Special Investigators handling the cases. This is an ..
... with large system migrations in healthcare, and if you have experience ... Health Plan (165,000 members, 1000 associates) with a passion for serving ... Software implementation experience in the..
... modem for a home office. Associates or contractors who live and ... is required For this job, associates are required to be fully ... approved Humana vendor, and unvaccinated..
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 ..
... May assist with identifying and recruiting providers based on network composition ... and network administration in a healthcare company 2 years of project ... and its subsidiaries require vaccinated..
Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ..
Description MUST BE BILINGUAL: CHINESE/ENGLISH (written and spoken proficiency)MUST HAVE WA RN LICENSE The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..
Description The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health provider contracts under the Ohio Medicaid program. The Provider Contracting Professional 2 communicates contract terms, payment structures, and reimbursement ..
... May assist with identifying and recruiting providers based on network composition ... and network administration in a healthcare company Experience in contract preparation ... to 20%. For this job,..
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 ..
... required. Experience working in a healthcare environment is preferred. Experience working ... Hiring Apply Now Dietrich and Associates Oral and Maxillofacial Surgery Scheduling ... 44709 Apply Now U.S. Army..
... a team of over 13,000 Associates including a network of over ... Opticians and Contact Len Sales associates and in some stores, the ... customer service and ensure all..
Job Information Humana Social Worker - Telephonic Behavioral Health in Canton Ohio Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and ..
... May assist with identifying and recruiting providers based on network composition ... and network administration in a healthcare company Behavioral health contract negotiation ... modem for a home office...
Qualifications nn n Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.nnBasic Requirements:nntUnited States ..
