Healthcare Documentation Specialist Jobs

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..

Job Information Humana Actuary, Risk and Compliance in Fargo North Dakota Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare ..

Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Fargo North Dakota Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the ..

Job Information Humana Medicare Appeals and Grievance Medical Director in Fargo North Dakota Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare ..

... Processes Professional builds templates, standard documentation, policy and protocol, case studies, ... Qualifications Bachelor's Degree in Business, Healthcare Administration, Mathematics and/or related field ... implementation technical experience Medicaid experience..

... of coding practices and clinical documentation, grievance and appeals processes, and ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..

Job Information Humana Manager, Pharmacy and Medical Trend in Fargo North Dakota Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and ..

... looking for an experienced Senior Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... Qualifications Bachelor's degree or significant..

Job Information Humana Clinical Formulary Strategy Pharmacist - Work At Home in Fargo North Dakota Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug development pipeline, and medical literature, while providing ..

Job Information Humana Medical Director - S. Florida in Fargo North Dakota Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..

Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..

Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Fargo North Dakota Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review ..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Fargo North Dakota Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in Fargo North Dakota Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments ..

Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Fargo North Dakota Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and ..

... whether services provided by other healthcare professionals are in agreement with ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..

Job Information Humana Strategy Advancement Lead - Humana Care Management in Fargo North Dakota Description The Strategy Advancement Lead provides data-backed strategic direction to identify and address business issues and opportunities ..

Job Information Humana Clinical Pharmacy Lead, Remote in Fargo North Dakota Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive ..

... of services provided by other healthcare professionals in compliance with review ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..

... is looking for an experienced Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... areas Bachelor's degree or significant..

Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Provider Contracting Executive engages in strategic negotiation and relationship-building with a variety of ..

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