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Job Information Humana Physician-Conviva Care Center- San Antonio, TX in San Antonio Texas Description The Physician serves as a health-care professional and capable of handling a variety of health-related problems. The ..
Job Information Humana Medicare Appeals and Grievance Medical Director in San Antonio Texas Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
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 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 ..
... 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 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 Physician- Conviva- San Antonio - Evergreen in San Antonio Texas Description The Physician serves as a health-care professional and capable of handling a variety of health-related problems. The ..
Job Information Centerwell Healthcare Account Executive in San Antonio ... Texas As a Home Health Specialist , you will: Call on ... source audience is required. Previous healthcare sales experience..
Description The Clinical Programs Pharmacy Technician Representative 2 integrates programs developed to improve overall health outcomes with a focus on prescription drugs. The Clinical Programs Pharmacy Technician Representative 2 performs varied ..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
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 ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
Job Information Conviva Physician - Conviva - San Pedro in San Antonio Texas Description Job Description Summary The Physician serves as a health-care professional and capable of handling a variety of ..
Job Information Conviva Physician-Conviva Care Center- Fair-San Antonio, TX in San Antonio Texas Description The Physician serves as a health-care professional and capable of handling a variety of health-related problems. The ..
Job Information Humana Senior Provider Contracting Professional - TRICARE Behavioral Health in San Antonio Texas Description Responsibilities The position will provide corporate support to the Director of Provider Contracting and is ..
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 ..
Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that will ..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
