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PROGRAM COORD-PHARMACY (1.0) CHI Health CUMC-Bergan Mercy','Full-time','Administrative/Clerical','8-4:30pm','8-4:30pm','80','80','None','None','NEBRASKA-OMAHA-CUMC-BERGAN MERCY','','!*!The CHI Health Pharmacy Regional Pharmacy Automation/Inventory Coordinator contributes to the CHI Health vision and mission by providing assistance to the Regional Pharmacy Director, ..
Denial Specialist-Coding - Revenue Cycle – FT Days - Service Center (Omaha)','Full-time','Professional Non-Clinical','Days','Days','80','80','Occasional','Occasional','NEBRASKA-OMAHA-SERVICE CENTER-NORTH BLDG','','!*! CHI Health is a regional health network with a unified mission: nurturing the healing ministry of ..
Coder Denials - Revenue Cycle - FT days - Service Center (Omaha)','Full-time','Professional Non-Clinical','FT days','FT days','80','80','None','None','NEBRASKA-OMAHA-SERVICE CENTER-NORTH BLDG','','!*!CHI Health is a regional health network with a unified mission: nurturing the healing ministry ..
Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Staff Utilization Management Pharmacist work assignments involve moderately ..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides health insurance. Requires an in-depth understanding of ..
... 340B Program including split-billing (outpatient), contract and specialty pharmacies. The Division ... with vendors, wholesalers, manufacturers, and contract pharmacies. The Division 340B Program ... Drug Discount Program, including ambulatory,..
... quality and clinical compliance with contract requirements as outlined in the ... codes. Our Department of Defense Contract requires U.S. citizenship for this ... timely and in accordance with..
Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work ..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..
... include national clinical guidelines, Humana contract language, Humana coverage policies and ... whether services provided by other healthcare professionals are in agreement with ... with national guidelines, state mandates,..
Job Information Humana Provider Contracting Professional - Behavioral Health in Omaha Nebraska Description The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health physician, hospital, and/or other provider contracts and ..
Coder Denials Revenue Cycle - Service Center (Omaha)','Full-time','Professional Non-Clinical','FT days','FT days','80','80','None','None','NEBRASKA-OMAHA-SERVICE CENTER-NORTH BLDG','','!*!CHI Health is a regional health network with a unified mission: nurturing the healing ministry of the Church while ..
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 ..
Description The Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Hospital Contracting Executive works on problems ..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..
Description The Transplant Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
... Professional for SC Medicaid communicates contract terms, payment structures, and reimbursement ... and network administration in a healthcare company or healthcare system Medicaid behavioral health contracting ... and communicating..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Information Humana Provider Contracting Professional in Omaha Nebraska Description The Provider Contracting Professional 2 Behavioral Health Network role; initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements ..
Job Information Humana Manager, Behavioral Provider Contracting - Remote in Omaha Nebraska Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers and ..