Manager Healthcare Payer Jobs in North Dakota

... acumen to solve for the healthcare challenges of today. The Clinical ... low value care and related healthcare resource waste, with a focus ... news and reports in the..

... Clinical Analytics and Trend Program Manager in Fargo North Dakota Description ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... Minimum 2 years working in..

... acumen to solve for the healthcare challenges of today. The Clinical ... anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... years or more working in..

Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..

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). ..

Job Information Humana Senior Sales Enablement Product Marketer in Fargo North Dakota Description Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Product Marketer who is hyper customer ..

Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Fargo North Dakota Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and ..

... 41) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... President, Strategy Advancement for our..

Specialty: Travel RN-GI Job Description The Registered Nurse works in a collaborative and cooperative relationship with other members of the health care team, plans and implements patient and family education and ..

... (CCM) organization is seeking a Manager, Fraud & Waste to join ... As the Fraud & Waste Manager at Humana, you will support ... that our members receive quality..

... with physicians, other nurses and healthcare professionals to provide care, monitor ... is a national leader in healthcare staffing recognized by Staffing Industry ... one of the nation's largest..

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 ..

Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates new product ideas, enhance existing products or strategic product extensions, and translates research discoveries into marketable products. This ..

Job Information Humana Lead Product Manager - Healthcare API in Fargo North Dakota ... Dakota Description The Lead Product Manager - Healthcare API (SME) as part of ... Individual will..

Job Information Humana Product Manager Lead, Pharmacy Transformative Products Team, ... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With..

Job Information Humana Manager, Utilization Management RN - Remote ... Fargo North Dakota Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..

Description The Behavioral Health Care Manager, Telephonic Nurse, in a telephonic ... wellbeing of members. The Care Manager, Telephonic Nurse work assignments are ... seeking a Behavioral Health Care Manager..

Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..

Job Description Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on ..

Job Description Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on ..

Job Information Humana Oncology Market Director in Fargo North Dakota Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to ..

Job Information Humana Manager, Fraud and Waste-Remote US in ... Fargo North Dakota Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..