Healthcare Resource Specialist Jobs

JOB SUMMARY Make the most of your clinical skills at an organization that has earned numerous awards for clinical excellence. Based in Roanoke, VA, our community-based health care organization encompasses a ..

:,ActualValueFromSolar:null},{QuestionName:Work Location,AnswerValue:Winston Salem, NC - 329 ,VerityZone:location,QuestionType:select,ActualValueFromSolar:null},{QuestionName:Job Purpose,AnswerValue:The Registered Nurse is responsible for providing emergency response care, first aid and episodic treatment of occupational injuries and illnesses. RN will maintain accurate ..

Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..

Job Information Humana Manager, Pharmacy and Medical Trend in Salem Oregon Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and medical, ..

Job Information Humana CMO - Regional VP, Health Services - Intermountain Region in Salem Oregon Description The Regional VP, Health Services relies on medical background and reviews health claims. The Regional ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Job Information Humana FP&A Lead, Medicaid Market in Salem Oregon Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..

... 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..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Registered NursernFull-Time (Three weekdays 7am - 3pm plus every other Saturday & Sunday 7am - 7pm) OR Full-Time (Three weeknights 11pm - 7am plus every other Saturday & Sunday 7pm - ..

Job Information Centerwell Medical Records Specialist in Winston Salem North Carolina ... function of the Medical Records Specialist is to provide clerical support ... raise the bar on home healthcare..

WalgreensnJob DescriptionOur pharmacy technician positions have undergone an exciting transformation, moving from a transaction-based environment to a much more patient-centric one. As a Walgreens Pharmacy Technician or Pharmacy Technician Apprentice, you'll ..

Job Information Humana Medicare Appeals and Grievance Medical Director in Salem Oregon Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..

... Kindred at Home Medical Records Specialist Home Health Full Time in ... function of the Medical Records Specialist is to provide clerical support ... raise the bar on home..

Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..

Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..

Job Information Humana Clinical Formulary Strategy Pharmacist - Work At Home in Salem Oregon Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug development pipeline, and medical literature, while providing clinical ..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in Salem Oregon Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..

Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..

Job Information Humana UM Medical Director - Conviva in Salem Oregon Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Salem Oregon Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..

Description Humana's Neighborhood Centers in North Carolina are looking for a full-time Activity Coordinator who is knowledgeable and passionate about our senior community to join our team. A Neighborhood Center is ..

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..