Healthcare Reimbursement Manager Jobs in Cincinnati

Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative medicines focused on helping millions of patients around the world in disease areas ..

Job Information Humana Manager, Behavioral Provider Contracting - Remote ... in Cincinnati Ohio Description The Manager, of Behavioral Health Provider Contracting ... contract terms, payment structures, and reimbursement rates to..

Description The Director, Provider Reimbursement is responsible for the leadership, ... execution of Humana Military's provider reimbursement methodologies. This leader is responsible ... payment system software, and provider-specific reimbursement factors..

Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides health insurance. Requires an in-depth understanding of ..

Job Information Humana Manager, Fraud and Waste-Remote US in ... in Cincinnati Ohio Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

... 41) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... President, Strategy Advancement for our..

Job Description As a MinuteClinic Nurse Practitioner (Provider), you will provide accurate assessment, diagnosis, and treatment of common family illnesses for patients 18 months and older. You will have the tools, ..

Job Information Humana Director, Contract Tools, Education, Processes (remote Eastern time zone) in Cincinnati Ohio Description The Director, Contract Tools, Education, Processes manages templates, standard documentation, policy and protocol, case studies, ..

Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to ..

Description The Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Hospital Contracting Executive works on problems ..

... Act in compliance with Heritage Healthcare's regulatory and professional standards and ... Provide input to the Rehabilitation Manager on clinical performance of assistants ... programs and services of Heritage..

Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to ..

Description Humana Healthy Horizons in Ohio is seeking a RN, Clinical Educator (Nursing Educator 2) who will plan, direct, coordinate, evaluate, develop, and/or deliver trainings and education programs for professional nursing, ..

Job Information Humana Manager, Utilization Management Nursing - Medicare ... in Cincinnati Ohio Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..

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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 ..

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... Act in compliance with Heritage Healthcare's regulatory and professional standards and ... Provide input to the Rehabilitation Manager on clinical performance of assistants ... programs and services of Heritage..

Job Information Humana Associate Director, Provider Relations (Ohio Medicaid) - Remote, OH in Cincinnati Ohio Description Humana Healthy Horizons is seeking an Associate Director, Provider Relations who will oversee the Ohio ..

Job Information Humana Manager, Utilization Management RN - Remote ... in Cincinnati Ohio Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..

... programs and services of Heritage Healthcare through formal and informal interactions ... Act in compliance with Heritage Healthcare's regulatory and professional standards and ... Provide input to the Rehab..

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 ..

Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..