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115

Government Healthcare Jobs in Fall River





Job info
 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Aug 06, 2021
Info Source
Employer  - Full-Time  90  

Description The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..

 
Company
**********
Location
Newport, RI
Posted Date
Aug 18, 2022
Info Source
Employer  - Full-Time  90  

... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... a Bachelor's degree in Business, Healthcare, or related field and/or 8 ... 5 years' experience in the..

 
Company
**********
Location
Newport, RI
Posted Date
Feb 05, 2022
Info Source
Employer  - Full-Time  90  

Description The Accounting Lead performs general accounting activities, including the preparation, maintenance and reconciliation of ledger accounts and financial statements such as balance sheets, profit-and-loss statements and capital expenditure schedules. Conducts ..

 
Company
**********
Location
Newport, RI
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

 
Company
**********
Location
Newport, RI
Posted Date
Feb 05, 2022
Info Source
Employer  - Full-Time  90  

... 5 or more years of healthcare policy experience including a track ... research, and resource development supporting healthcare policy and for translating information ... otherwise Direct understanding of how..

 
Company
**********
Location
Newport, RI
Posted Date
Dec 23, 2022
Info Source
Employer  - Full-Time  90  

Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Apr 22, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

 
Company
**********
Location
Newport, RI
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability shine? ..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
May 18, 2023
Info Source
Employer  - Full-Time  90  

Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST states Responsibilities The Bilingual Grievances ..

 
Company
**********
Location
Newport, RI
Posted Date
May 21, 2023
Info Source
Employer  - Full-Time  90  

Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional ..

 
Company
**********
Location
Newport, RI
Posted Date
Dec 25, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

 
Company
**********
Location
Newport, RI
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

... support advocacy efforts with state government officials and regulators (in partnership ... 5 or more years of healthcare policy experience including a track ... research, and resource development supporting..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Apr 15, 2023
Info Source
Employer  - Full-Time  90  

Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Humana's Wisconsin Medicaid Market ..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Apr 22, 2023
Info Source
Employer  - Full-Time  90  

Description Humana is continuing to grow nationwide! We have 28 new Bilingual Medicaid Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida Medicaid Members ..

 
Company
Genesis HealthCare
Location
Warren, RI
Posted Date
May 27, 2023
Info Source
Employer  - Full-Time  90  

Genesis is one of the nation's leading providers of post-acute healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing ..

 
Company
**********
Location
Newport, RI
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

 
Company
**********
Location
Newport, RI
Posted Date
Dec 05, 2022
Info Source
Employer  - Full-Time  90  

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

 
Company
**********
Location
Warwick, RI
Posted Date
Jun 05, 2023
Info Source
Employer  - Full-Time  90  

Genesis is one of the nation's leading providers of post-acute healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing ..

 
Company
**********
Location
Newport, RI
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

 
Company
**********
Location
Newport, RI
Posted Date
May 04, 2023
Info Source
Employer  - Full-Time  90  

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Apr 22, 2023
Info Source
Employer  - Full-Time  90  

Description The DRG Validation Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Jun 03, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana Bilingual Quality Auditor in Newport Rhode Island Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. ..

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