THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
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Description The Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Director, Provider Contracting requires an in-depth ..
Job Information Humana Manager, Behavioral Provider Contracting - Remote ... Lancaster South Carolina 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 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 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 ... Lancaster South Carolina Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
... 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 Responsibilities 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 ..
Job Information Centerwell RN Case Manager, Home Health Per Diem in ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical Manager...
Job Information Humana Manager, Utilization Management Nursing - Medicare ... Lancaster South Carolina Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Job Information Humana Director, Contract Tools, Education, Processes (remote Eastern time zone) in Lancaster South Carolina Description The Director, Contract Tools, Education, Processes manages templates, standard documentation, policy and protocol, case ..
Description Responsibilities The Director, Provider Contracting initiates, negotiates, and executes physician, hospital, ancillary and/or other provider contracts and agreements for an organization that provides health insurance. The Director, Provider Contracting requires ..
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 ..
... Kindred at Home RN Case Manager, Home Health Full Time in ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical..
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 ..
... 50 market leader in integrated healthcare delivery. As a company whose ... Humana is seeking an accomplished healthcare leader for the position of ... funding, risk management and provider..
... social wellness. Responsibilities The Project Manager manages all aspects of a ... and within budget. The Project Manager's work assignments are varied and ... appropriate courses of action. Project..
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 ..
... Information Centerwell Registered Nurse Case Manager Full Time in Monroe North ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical..
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 ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... Lancaster South Carolina Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Description The Claims Research & Resolution Professional 2 works with enterprise shares team comprised of calls/claims/contracting and external provider associates researching the resolution to a pending inquiry. Understands department, segment, 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 ..
