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Job Information Humana Manager, Behavioral Provider Contracting - Remote ... in Salem Oregon 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 ..
... 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, Utilization Management RN - Remote ... in Salem Oregon Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Apply Now Share this job Send yourself a reminder Alert me to jobs like this one RN Case Manager, Full-Time Willamette Valley Hospice Willamette Valley Hospice is a non-profit business that ..
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 ..
... the discretion of the direct manager. This position is intrastate and ... visits for patients under Clinical Manager's supervision in compliance with the ... with applicable licensure/certification requirements, applicable..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Salem Oregon Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
... 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 .....
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 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 Centerwell Patient Services Coordinator in Winston Salem North Carolina The Patient Services Coordinator is directly responsible for scheduling visits and communicating with field staff, patients, physicians, etc. to maintain ..
... 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..
... 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 Care Coordinator in Salem Illinois Description The Care Coach Coordinator assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward ..
Job Information Humana Manager, Utilization Management Nursing - Medicare ... in Salem Oregon Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Salem Oregon Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, and ..
Broad River Rehab is Growing!!! Physical Therapist position (DPT/ PT) Skilled Nursing Facility West Salem, WI Full time *Sign-On-Bonus offered* At Broad River Rehab, we value our staff and their dedication ..
Job Information Centerwell Physical Therapist Home Health PRN in Winston Salem North Carolina As a Home Health Physical Therapist , you will: Plan and administer prescribed skilled physical therapy treatment and ..
Job Information Kindred at Home Physical Therapist, Home Health Per Diem in Winston Salem North Carolina As a Home Health Physical Therapist , you will: Plan and administer prescribed skilled physical ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Salem Oregon Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..