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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
... leader in medical technology and healthcare solutions were a market leader ... shape your own career. We support your growth with the training, ... success. Together, we can transform..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Fort Wayne Indiana Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..
... the global leader in dialysis healthcare, we offer exceptional opportunities to ... camaraderie, emphasizing friendly collaboration, professional support, and career development. Superior training, ... the success of a leading..
Description The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior Utilization ..
... the global leader in dialysis healthcare, we form bonds that enable ... camaraderie, emphasizing friendly collaboration, professional support, and career development. Superior training, ... for assigned patient(s). Perform all..
... guidelines and procedures; applies advanced technical knowledge to solve moderately complex ... Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts ... their home. We are a..
... students outside of class in support of the curriculum and co-curriculum; ... curriculum and co-curriculum; provide institutional support and community service; participate meaningfully ... student retention and completion initiatives;..
Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
... The Lead Cloud Architect performs technical planning, architecture development and modification ... 8 or more years of technical experience 2 or more years ... for complex business problems Prior..
... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality affordable healthcare while keeping our provider networks ... on existing data related and..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... providing digital marketing funnel conversion support, enhancing SEO capabilities, and landing ... the moment of need for..
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). ..
