THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
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Description The Provider Contracting Professional 2 communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of contracts and terms. Understands alternate payment structures and quality incentives for ..
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
... oversight of the end-to-end encounter management workflow for Humana Healthy Horizons ... and solutions to team members, management, and external entities is crucial ... and submission issues; communicate with..
... health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works ... Humana systems and capabilities. Program Management experience PMP/PMI certification. Independent with ... and value..
... measures for pain and symptom management. n Assures complete and accurate ... rotation. n nStaff Supervision and Management n n Interviews, selects, trains, ... n Participates in the Outcomes..
Benefits EligibilityPart Time Benefits: At Sodexo, we believe every employee should have the resources to be their best. As part of our overall rewards, we offer benefits like paid time off, ..
... seeking an Associate Director, Care Management leads teams of nurses and ... health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of .....
Job Information Humana OB Care Management Support Assistant 2/Medicaid (Bilingual English/Spanish ... Melbourne Florida Description The Care Management Support Assistant 2 contributes to ... contributes to administration of care management...
... seeking an Associate Director, Care Management who will lead teams of ... health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of .....
