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Job Information Humana Medical Director - Medicare Pharmacy Appeals ... Juan Puerto Rico Description The Medical Director relies on clinical background ... reviews Medicare drug requests. The Medical director work..
Description The Medical Coding Coordinator 2 extracts clinical ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
Job Information Humana Medical Director - Texas in San ... Juan Puerto Rico Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... whether services provided by other healthcare..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors. Responsibilities The..
Description The Medical Director relies on fundamentals of ... and per diem requests. The Medical Director provides medical interpretation and determinations whether services ... whether services provided by other healthcare..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
... The Senior Professional collaborates with healthcare professionals, pharmacists, and other business ... functions to implement formulary and medical strategies for the Medicaid line ... The Senior Professional collaborates with..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..
Description The Medical Coding Coordinator 3 extracts clinical ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... leadership and external exposure with healthcare providers in OH,..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team uses advanced scientific techniques, ..
... the Health Care industry, Medicare, Medical Claims, CAS, exp.) - San ... Appeals Representative 3 manages client medical denials by conducting a comprehensive ... Must have experience in the..
Job Information Humana Medical Coding Coordinator 3- Remote USA ... Juan Puerto Rico Description The Medical Coding Coordinator 3 extracts clinical ... information from a variety of medical records and..
Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..
