Manager Healthcare Payer Jobs

u003cpu003eFounded in 1965, Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees. We offer an array of mental ..

u003cpu003eFounded in 1965, Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees. We offer an array of mental ..

... Clinical Analytics and Trend Program Manager in Portland Maine Description The ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... Minimum 2 years working in..

Portland Davis Wright Tremaine LLP has an exciting opportunity for a junior or mid-level associate to join its Healthcare Practice Group. Qualified candidates will have three years of experience or a ..

u003cpu003eFounded in 1965, Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees. We offer an array of mental ..

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

u003cpu003eu0026ldquo;They made it easier for me to live, breathe, eat, and stay clean. Without them, Iu0026rsquo;d be waiting somewhere, waiting for someone to give me a chance to live...u0026rdquo; - Client ..

Job Information Humana Lead Product Manager - Healthcare API in Portland Maine Description ... Maine Description The Lead Product Manager - Healthcare API (SME) as part of ... Individual 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 ..

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..

We are seeking a Nurse Manager ($115,000 DOE) with an interest or background in behavioral health to join our team and to support our patients in one of our specialty care ..

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

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). ..

Locums Psych (MD/DO) need in Maine (southern)u2013tBC preferredu2013tFloat between 3 facilities (one facility will consider telehealth)u2013tASAP (thru April 15, possible extension)u2013tO/P addiction medicineu2013t2 days/weeku2013tAvg 10-20 (depending on type of appt)u2013tSuboxone u2013 ..

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). ..

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 ..

Healthcare Without RivalPremise Health is the world's leading direct healthcare provider and one of the largest digital providers in the country, serving over 11 million eligible lives across more than 2,500 ..

Description Responsibilities 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 ..

... (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..

... experience managing contracts in a healthcare setting. 5 years of experience ... 5 years of experience in healthcare related payer or provider contracting. 3 years ... 3 years of..

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

... 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..

Job Information Humana Manager, Utilization Management RN - Remote ... in Portland Maine Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..