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Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Description The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 conducts ... well-being Responsibilities Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 requires ... Georgia The Medical Records Retrieval Specialist..
Cardiovascular Invasive Laboratory Specialist IV AdventHealth Tampa Location Address: ... clinical conditions. Maintains authenticity and security of the record, and follows ... and upgrades skills. Supervises other healthcare team members..
Job Information Humana Senior Provider Contracting Professional - TRICARE Behavioral Health in Atlanta Georgia Description Responsibilities The position will provide corporate support to the Director of Provider Contracting and is responsible ..
The Vocational Rehabilitation Counselors (VRCs) are located in the Veterans Benefits Administration (VBA) Regional Office (RO), RO Out based office location, Vet Success On Campus (VSOC) school site, or Integrated Disability ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
**CAREERS THAT CHANGE LIVES:** Medtronic is seeking a Clinical Territory Manager (CTM) to support the education and training of the company's products to Health Care Professionals and patients. CTMs serve as ..
Description The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's ..
Job Information Humana Actuary, Risk and Compliance in Atlanta Georgia Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare Advantage ..
Job Information Humana FP&A Lead, Medicaid Market in Atlanta Georgia Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
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 ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual to contribute to a high performing team that ..
Job Information Humana HIMS - Health Information Management Specialist - CenterWell - Atlanta in Stone Mountain Georgia Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand ..
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 ..
... than 3 years of hands-on healthcare experience in a clinical setting, ... Preferred Qualifications Bachelor's Degree in Healthcare or Business Administration Knowledge of ... Professional State Certifications related to..
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 ..
Description The Supervisor, Care Management Support 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 wellness ..
Job Information Humana Clinical Pharmacy Lead, Remote in Atlanta Georgia Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and ..
Job Information Humana Senior Contract Tools, Education, Processes Professional - Remote in Atlanta Georgia Description The Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and protocol, case studies, ..
Description Responsibilities This role within the Autism Care Demonstration (ACD) Team, will work closely with Care Management leaders and Subject Matter Experts in the areas of Case Management, Utilization Management and ..