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... Job Information Deloitte C&M - Healthcare - Customer Strategy & Applied ... Manager in Philadelphia Pennsylvania Senior Manager/Specialist Lead, Healthcare Customer Strategy In the current ... to precisely reflect..
Coding Specialist We have exciting employment opportunities ... Position Summary The HIM Coding Specialist will handle medical coding and ... outpatient procedures consistent with client contract and documentation in the..
Job Information Humana Senior Contract Tools, Education, Processes Professional - ... Pittsburgh Pennsylvania Description The Senior Contract Tools, Education, Processes Professional builds ... in class knowledge. The Senior Contract Tools,..
Advanced Practice Registered Nurses / Physician Assistants (84) Executive (9) General Nursing (115) Nursing Support (2) Operations (1) Physicians/Surgeons (166) Type Contract (0) Fellowship (1) Full Time (74) Locum Tenens (0) ..
... 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..
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 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, ..
Description Job Description Summary 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 ..
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 ..
... a Managed Care Revenue Cycle Specialist where you will reduce Days ... claims to be denied. Genesis HealthCare is a leading provider of ... is a leading provider of..
Job Information Humana FP&A Lead, Medicaid Market in Pittsburgh Pennsylvania Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Pittsburgh Pennsylvania Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
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 ..
Job DescriptionnnNew Hires based in the US & Puerto Rico will be required to demonstrate that they have been fully vaccinated for Covid-19 or qualify for a medical or religious exemption ..
Mental Health Nursing & Integrated Practice University of the West of Scotland - School of Health and Life Sciences Location: Paisley Salary: £44,045 to £50,296 AC3: £44,045 - £50,296 Hours: Full ..
We have an immediate opportunity for Admissions Coordinator The Admissions Coordinator serves as the point of contact for the clinical assessment process. Assesses by phone the needs of patient, collecting data ..
Job Information Humana Pharmacy Technician Networks Specialist, Remote PA or NJ in Pittsburgh Pennsylvania Description The Provider Contracting Administration Coordinator 2 supports the administration of the contracting function. The Provider Contracting ..
Job DescriptionnnNew hires based in the US & Puerto Rico will be required to demonstrate that they have been fully vaccinated for COVID-19 or qualify for a medical or religious exemption ..
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 SummaryThe Medical Director, Health Services along with the Vice President, Medical Operations, is directly responsible for all Plan activities related to the member. He/she will be dedicated to the goals ..
