Healthcare Representative Jobs in Lancaster

Description The Claims Processing Representative 2 reviews and adjudicates complex ... or electronically. The Claims Processing Representative 2 performs varied activities and ... semi-routine assignments. Responsibilities Claims Processing Representative 2’s..

Description The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a framework ..

Job ID 21000IJPAvailable Openings 1Position Specific Information $1,000 Sign-on Bonus with no dialysis experience $1,500 Sign-on Bonus with dialysis experiencePURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service ..

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

... new Bilingual Medicaid Inbound Contact Representative openings that will have the ... A Bilingual Medicaid Inbound Contacts Representative 2 represents Humana by addressing ... The Bilingual Medicaid Inbound Contact..

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 Senior Professional collaborates with healthcare professionals, pharmacists, and other business functions to implement formulary and medical strategies for the Medicaid line of business. Makes decisions on moderately complex to ..

Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..

Job ID 21000MB5Available Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..

Job Information Humana Risk Adjustment Representative 3- Scheduler in Lancaster South ... Carolina Description The Risk Adjustment Representative 3 (Scheduler) conducts quality assurance ... government agencies. The Risk Adjustment Representative..

Description Responsibilities 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 ..

Job Information Humana Call Center Pharmacy Claims Technician in Lancaster South Carolina Description Job Description Summary The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The ..

Job Information Humana Medicare Enrollment Representative 2 - Remote in Lancaster South Carolina Description The Enrollment Representative 2 processes applications from members, enrolls them on company platforms, and transmits enrollment to ..

Description Upstate South Carolina (Oconee County, Anderson, Greenville County) and Northeast GA (Madison, Elbert, Banks, Franklin County) The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 conducts quality assurance review of ..

Description The Senior Value-Based Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Analyst works on problems of diverse ..

... Lancaster South Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..

Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... leadership and external exposure with healthcare providers in OH,..

Description Assist with maintenance of Automated Dispensing Systems (ADS) servers/consoles in support of DEA- and Board of Pharmacy (BoP)-compliant remote medication dispensing in Hospice IPU settings. Support implementation project management. Assist ..

... Lancaster South Carolina Description The Healthcare Quality Reporting & Improvement (HQRI) ... contribute as a clinical industry representative. As a leader, this role ... guidance to ensure physician and..

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 Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability shine? ..