Healthcare Reimbursement Manager Jobs

Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative medicines focused on helping millions of patients around the world in disease areas ..

Job Information Humana Manager, Behavioral Provider Contracting - Remote ... in Cincinnati Ohio 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..

Job Information Humana Manager, Fraud and Waste-Remote US in ... in Cincinnati Ohio Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

... 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..

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

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 Medical Coding Coordinator 3- Remote USA in Cincinnati Ohio Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural ..

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

Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Cincinnati Ohio Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..

Job Information Humana Director, Contract Tools, Education, Processes (remote Eastern time zone) in Cincinnati Ohio Description The Director, Contract Tools, Education, Processes manages templates, standard documentation, policy and protocol, case studies, ..

... 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..

Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Cincinnati Ohio Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, and ..

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 ..

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 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 ..

Job Information Humana Associate Director, Provider Relations (Ohio Medicaid) - Remote, OH in Cincinnati Ohio Description Humana Healthy Horizons is seeking an Associate Director, Provider Relations who will oversee the Ohio ..

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 ..

Job Information Humana Manager, Utilization Management RN - Remote ... in Cincinnati Ohio Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..

Job Information Humana Manager, Utilization Management Nursing - Medicare ... in Cincinnati Ohio Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..

Job Description As a MinuteClinic Nurse Practitioner (Provider), you will provide accurate assessment, diagnosis, and treatment of common family illnesses for patients 18 months and older. You will have the tools, ..

... 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..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Cincinnati Ohio Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..