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Job Information Humana Manager, Behavioral Provider Contracting - Remote ... Newport Rhode Island 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 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 Director, Contract Tools, Education, Processes (remote Eastern time zone) in Newport Rhode Island Description The Director, Contract Tools, Education, Processes manages templates, standard documentation, policy and protocol, case ..
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, Utilization Management RN - Remote ... Newport Rhode Island Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Team Leader – Supervised Apartments (Full Time) Location: Woonsocket, RI Community Care Alliance is located only 15 miles from Providence, RI. We are looking for compassionate individuals who want to make ..
... 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..
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 ..
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 ..
... 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..
President and CEO Horizon Healthcare Partners (Full Time) Location: East ... East Providence, RI Unique Behavioral Healthcare Leadership Opportunity Horizon Healthcare Partners (HHP) is conducting a ... grow a comprehensive..
Job Information Humana Manager, Utilization Management Nursing - Medicare ... Newport Rhode Island 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..
Job Information Humana Manager, Fraud and Waste-Remote US in ... Newport Rhode Island Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
CCBHC Mobile Crisis Community Mental Health Worker (Full Time) Location: Woonsocket, RI Community Care Alliance is seeking a community mental health worker to work as a member of our 24/7 mobile ..
... specialty laboratoriesUp to $4,400 tuition reimbursement per calendar yearPURPOSE AND SCOPE: ... the direction of the Program Manager (PM) and with guidance from ... indicated and notifies inpatient program..
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 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 ..
Description The Care Management Support Assistant 2 contributes to administration of Care Management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
... East Providence, RI Unique Behavioral Healthcare Leadership Opportunity Horizon Healthcare Partners (HHP) is conducting a ... grow a comprehensive state-wide behavioral healthcare and human service network that ... with..
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 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 ..
