Healthcare Contract Specialist Jobs in Missouri

Job Information Humana Senior Contract Tools, Education, Processes Professional - ... Springfield Missouri Description The Senior Contract Tools, Education, Processes Professional builds ... in class knowledge. The Senior Contract Tools,..

... Options Search Career Opportunities Hire Healthcare Professionals Pay My Bill Find ... MO, 65270 Corrections - ST, Healthcare Contract - Full Time I'm Interested ... 24/7 $500 Refer-A-Friend program..

Job Information Humana Medical Director - National Medicare Team in Springfield Missouri Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..

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 ..

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 ..

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 ..

For Employers Senior Healthcare Recruiter Next Move, Inc Kansas ... candidates in clinical environments where healthcare providers can thrive. The recruiter ... experience or knowledge of the healthcare / nursing..

... compliance issues Work with the Contract Compliance Officer and Compliance Officer ... designed to resolve LDH FWA contract compliance issues Respond to FWA ... meetings Required Qualifications Experience in..

Posting DetailsPRN (As Needed) Emergency Department Des Peres CampusnDescriptionnPrinciple Accountabilities:             % of Time SpentnActs a patient liaison upon arrival to initiate patient flow and operations necessary to comply with managed care ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..

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 ..

... market contracting teams to influence specialist contract terms that align with Service ... in close coordination with PCP Contract Load, Capitation Rates, Payments, and ... Adjustments teams to ensure..

Job Information Humana Medicare Appeals and Grievance Medical Director in Springfield Missouri Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..

You belong at St. Lukeu2019sOur family celebrates and supports you and encourages you to grow. Our family is there for you on the good days, the challenging days and everything in ..

You belong at St. Lukeu2019sOur family celebrates and supports you and encourages you to grow. Our family is there for you on the good days, the challenging days and everything in ..

Job Information Humana UM Medical Director - Conviva in Springfield Missouri Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..

You belong at St. Lukeu2019sOur family celebrates and supports you and encourages you to grow. Our family is there for you on the good days, the challenging days and everything in ..

... Physicians/Surgeons (45) Psychology (2) Type Contract (1) Fellowship (0) Full Time ... Associate II - Processing BJC HealthCare Saint Louis, Missouri NEW! NEW! ... Tennessee Registered Sleep Technologist Emory..

You belong at St. Lukeu2019sOur family celebrates and supports you and encourages you to grow. Our family is there for you on the good days, the challenging days and everything in ..

Admin / Clerical (188) Advanced Practice Registered Nurses / Physician Assistants (339) Allied Health (3185) Executive (81) Operations (252) Physicians/Surgeons (1354) Quality/Risk Management (19) Type Contract (1) Fellowship (0) Full Time ..

Job Information Humana FP&A Lead, Medicaid Market in Springfield Missouri Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..

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 ..