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Job Description VICTORY SUPPORT SERVICES INC. PHILADELPHIA PA SMALL PRIVATE RESIDENTIAL PROVIDER FOR 4 PARTICIPANTS WHO REQUIRE HOME CARE ASSISTANCE IN THEIR RESIDENCE WITH WEEKLY OVERNIGHT SUPERVISION NEEDED NO TRAVELING ALL ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
... a Managed Care Revenue Cycle Specialist where you will reduce Days ... claims to be denied. Genesis HealthCare is a leading provider of ... is a leading provider of..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Description The Fraud Investigation Technician 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud Investigation Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. ..
Requisition Number: 152946 Company Name: The Davey Tree Expert Company Service Line: 1RES - Kent-Residential & Commercial Services Employment Type: Regular Job Type: Full Time Education Level Required: High School Diploma ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Job Information Humana Actuary, Risk and Compliance in Pittsburgh Pennsylvania Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare Advantage ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Information Humana FP&A Lead, Medicaid Market in Pittsburgh Pennsylvania Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..
Job Information Humana Pharmacy Technician Networks Specialist, Remote PA or NJ in Pittsburgh Pennsylvania Description The Provider Contracting Administration Coordinator 2 supports the administration of the contracting function. The Provider Contracting ..
Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual to contribute to a high performing team that ..
Job Information Humana Clinical Pharmacy Lead, Remote in Pittsburgh Pennsylvania Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and ..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
Requisition Number: 149806 Company Name: The Davey Tree Expert Company Service Line: 1RES - Kent-Residential & Commercial Services Employment Type: Regular Job Type: Full Time Education Level Required: High School Diploma ..
Description The Medical Records Retrieval Representative travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. Responsibilities The ..
Job Information Humana Senior Contract Tools, Education, Processes Professional - Remote in Pittsburgh Pennsylvania Description The Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and protocol, case studies, ..
