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Description The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work ..
... look for a Senior Business Systems Analyst to join working remote ... the US! The Senior Business Systems Analyst performs analysis of business, ... requirement specifications. The Senior Business..
Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the ..
... and network administration in a healthcare company or healthcare system Medicaid behavioral health contracting ... groups, ancillary providers and hospital systems. Proficiency in analyzing, understanding and ... well when..
Outpatient Internist sought to join an office based, hospital employed practice in a beautiful picturesque town in southeastern Vermont. Light call schedule of 1:7 and 4-day work week make for the ..
... of Current Procedural Terminology and Healthcare Common Procedure coding systems Must be passionate about contributing ... for this role Experience with healthcare information technology, actuarial science and/or ... Humana's..
Job Information Humana Bilingual Quality Auditor in Montpelier Vermont Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Family Medicine Physician sought to join a 50 provider multi-specialty group in southeastern Vermont. 100% Outpatient with very light call schedule and full support staff. Call is 1:11, phone only. Earn ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
... We are the future of healthcare and our mission is to ... will help members through their healthcare journey, ensuring they get the ... are: Passionate about transforming our..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the flexibility ..
Sign On Bonuses for RN's and LPN's! Full Time: $10,000 Part Time: $5,000 POSITION SUMMARY: The Clinical Reimbursement Coordinator (RN) manages the overall process and tracking of all Medicare/Medicaid case-mix documents ..
Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... leadership and external exposure with healthcare providers in OH,..
... Humana Lead Product Manager - Healthcare API in Montpelier Vermont Description ... The Lead Product Manager - Healthcare API (SME) as part of ... catalog, developer experiences, and integration..
Description The Data and Reporting Professional II generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The ..
The Integrated Arts Academy is seeking candidates to provide support for students who have experienced trauma and ongoing behavioral challenges in the K-5 learning environment. These individuals will provide support to ..
... Humana Lead Database Administrator, Open Systems - Remote in Montpelier Vermont ... and recovery on Database Management Systems, configures database parameters, and prototype ... by database size, technology used,..
Hospitalist sought for a fantastic quality of life opportunity in beautiful southeastern Vermont. This is a hospital employed opportunity offering flexible scheduling of either 5-7 shifts on/off. You could do only ..
Job Information Humana Telephonic Behavioral Health Care Manager in Montpelier Vermont Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or ..
Description The Remote Systems Clinical Pharmacist will provide excellent ... development, training, and education. Remote Systems Perform onsite compliance visits as ... needed / requested. Support Remote Systems team. Answer..
Burlington is a vibrant, picturesque community on Lake Champlain and the most culturally diverse city in Vermont. Burlington has an international airport, and is in close proximity to a number of ..
Job Information Humana Senior Copy Writer in Montpelier Vermont Description Humana's The Hive is looking for a Senior Copy Writer to join the team! The Hive is Humana's in-house agency, a ..