THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
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... senior-focused health care or Humana Healthcare Services High sense of accountability ... high impact projects, experience - Healthcare Industry Experience in data analytics ... Power Point, Word, Outlook) 1..
... contract payments in our payer systems, and by ensuring correct claims ... Degree or higher in Health Information Management (HIM) or related field ... metric driven operational setting Additional..
... look for a Senior Business Systems Analyst to join working remote ... the US! The Senior Business Systems Analyst performs analysis of business, ... requirement specifications. The Senior Business..
... phone to gather additional clinical information or discuss determinations regularly, and ... whether services provided by other healthcare professionals are in agreement with ... management organizations, hospitals/ Integrated Delivery..
Description The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in San Juan Puerto Rico Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, ..
... technical ability to learn different systems and databases Experience sourcing passive ... protect member PHI / HIPAA information. Preferred Qualifications Master's degree Recruiting ... experience using formalized applicant tracking..
... and documented in all applicable systems. Be able to communicate ECHO ... Electronic Questionnaire for Investigation Processing). Healthcare professional with a minimum of ... case management, clinics and/or other..
... document and research in multiple systems. This position will print and ... will print and mail educational information to members. Required Qualifications Bachelor's ... with documenting in multiple computer..
... able to quickly pickup different systems and databases Work at home ... protect member PHI / HIPAA information. Must be passionate about contributing ... searches Previous CRM experience Additional..
... Development Life Cycle (SDLC) and Information Technology Infrastructure Library (ITIL) frameworks ... managing competing priorities, analytical and systems thinking. Developing career paths and ... Qualifications Bachelor's Degree in Business,..
... by ability to navigate multiple systems, utilizing dual computer monitors. Provide ... for optimal performance from Humana systems is 25 MBS Downstream/ 10 ... (see details below under Additional..
... love auditing and investigating clinical/coding information, researching medical materials and sources ... credential (CPC, CCS, or CRC) Healthcare experience within a fraud investigations ... well as solid knowledge of..
Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the ..
Job Information Humana Provider Contracting Professional - Behavioral Health in San Juan Puerto Rico Description The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health physician, hospital, and/or other provider ..
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
... Enters and maintains pertinent clinical information in various medical management systems. Understands department, segment, and organizational ... to research and understand complex information Preferred Qualifications Bachelor's degree Utilization .....
Job Information Humana Social Worker-MSW and licensure ... for optimal performance from Humana systems is 25M x 10M Associates ... (see details below under Additional Information) and upon offer will..
Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..
Description The Senior Nursing Educator plans, directs, coordinates, evaluates, develops, and/or delivers training and education programs for professional nursing personnel. The Senior Nursing Educator work assignments involve moderately complex to complex ..
Description The Medical Coding Auditor reviews medical records to verify coding (ICD-10 CM/PCS). The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
... take charge of their own healthcare decisions. Provide guidance and clinical ... coordinate interventions that may include information, education, resources and referrals Coordinate ... learn how to use virtual..
