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Description The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a framework ..
Description The Risk Adjustment Representative 3 works with regional provider ... government agencies. The Risk Adjustment Representative 3 performs advanced administrative/operational/customer support ... judgment. Responsibilities The Risk Adjustment Representative 3..
Mommy Jobs Online (mommyjobsonline.com) / 405 418 6160 Mommy Jobs Online is actively hiring customer service professionals to work from home fielding inbound calls from our customers. Our Customer Service Representatives ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
Job Information Humana Manager, Fraud and Waste-Remote US in Newport Rhode Island Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..
Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability shine? ..
... Newport Rhode Island Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
Description The Senior Coding Educator identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. The Senior Coding Educator work assignments involve moderately complex to ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional ..
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,..
... new Bilingual Medicaid Inbound Contact Representative openings that will have the ... A Bilingual Medicaid Inbound Contacts Representative 2 represents Humana by addressing ... The Bilingual Medicaid Inbound Contact..
... Newport Rhode Island Description The Healthcare Quality Reporting & Improvement (HQRI) ... contribute as a clinical industry representative. As a leader, this role ... guidance to ensure physician and..
Customer Service Representative/Fitness Floor Specialist Bonnie & Donald Dwares JCC of the Jewish Alliance of Greater Rhode Island 401 Elmgrove Ave Providence, RI 02906 Principal Responsibilities: The Customer Service Representative/Fitness Center ..
Description The Senior Value-Based Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Analyst works on problems of diverse ..
Description The Senior Professional collaborates with healthcare professionals, pharmacists, and other business functions to implement formulary and medical strategies for the Medicaid line of business. Makes decisions on moderately complex to ..
Description Responsibilities If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver ..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Newport Rhode Island Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
