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Job Information Humana Manager, Behavioral Provider Contracting - Remote ... Albuquerque New Mexico Description The Manager, of Behavioral Health Provider Contracting ... contract terms, payment structures, and reimbursement rates to..
Description The Director, Provider Reimbursement is responsible for the leadership, ... execution of Humana Military's provider reimbursement methodologies. This leader is responsible ... payment system software, and provider-specific reimbursement factors..
Description The Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Hospital Contracting Executive works on problems ..
Description The Referrals Coordinator 2 processes referrals from Civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Typically works on semi-routine assignments. Responsibilities The Referrals ..
Job DescriptionnRegistered Nurse(RN) / Travel / Case ManagernRegistered Nurse Case ManagernType: Registered Nurse (RN) nRio Rancho, NMnMAS Medical Staffing is currently seeking a(n) Registered Nurse (RN) professional with Registered Nurse (Case ..
Job Information Humana Manager, Utilization Management RN - Remote ... Albuquerque New Mexico Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
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 ..
Job Information Humana Manager, Utilization Management Nursing - Medicare ... Albuquerque New Mexico Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
... 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..
Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional ..
Job ID 21000HHAAvailable Openings 1Position Specific Information Full Time 40 hours per week, supporting up to two clinics.DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer ..
Job Information Humana Sales Support Representative - Albuquerque, NM in Albuquerque New Mexico Description Are you passionate about contributing to the well-being of the Medicare population? Would you like to provide ..
Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..
Description The Social Services Care Manager, 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 facilitate interaction ..
... this role: As a Clinical Manager with Fresenius Medical Care, you ... advanced leadership. As a Clinical Manager, you may advance your career ... need us most, from tuition..
Description The Network Operations Coordinator 3 manages provider data including but not limited to demographics and contract accuracy. Additional Information - How we Value You Benefits starting day 1 of employment ..
... 41) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... President, Strategy Advancement for our..
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 ..
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 The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..
Genesis HealthCare is one of the leading ... of the leading providers of healthcare services from short-term to long-term ... the budgetary process, payroll analysis, reimbursement issues, and staffing ratios..
Job Information Humana Manager, Fraud and Waste-Remote US in ... Albuquerque New Mexico Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides health insurance. Requires an in-depth understanding of ..
