Healthcare Reimbursement Manager Jobs in Maine

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 Portland Maine 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..

... as directed by the Clinical Manager. Confer with physician in developing ... with physician orders, under Clinical Manager's supervision. Revise plan in consultation ... Coordinate appropriate care, encompassing various..

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 ..

... Weekly Pay Direct Deposit Travel reimbursement State License reimbursement $1500 Referral bonus programAbout UsAll ... is a national leader in healthcare staffing recognized by Staffing Industry ... one of..

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

... as directed by the Clinical Manager. Confer with physician in developing ... with physician orders, under Clinical Manager's supervision. Revise plan in consultation ... Coordinate appropriate care, encompassing various..

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 Portland Maine Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..

... any applicable licensure/certification requirement, applicable healthcare standards, governmental laws and regulations, ... contact with patients, physicians, clinical manager(s), other members of the healthcare team in a timely manner .....

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

... as directed by the Clinical Manager. Confer with physician in developing ... with physician orders, under Clinical Manager's supervision. Revise plan in consultation ... Coordinate appropriate care, encompassing various..

Job Information Centerwell Healthcare Account Executive in Kennebunk Maine ... source audience is required. Previous healthcare sales experience preferred such as ... raise the bar on home healthcare CenterWell™ Home..

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

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..

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 ..

... path from Social Worker to Manager, Senior Manager and Senior Director. Our culture: ... need us most, from tuition reimbursement to support your education goals, ... part of the..

Job DescriptionnNursing Manager/Director(DON) / Travel / OncologynNursing Manager/Director OncologynType: Rehab Manager/Director nRockport, MEnMAS Medical Staffing is ... is currently seeking a(n) Rehab Manager/Director professional with Nursing Manager/Director (Oncology) experience for..

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 ..

... 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..