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Description The Provider Contracting Professional 2 communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of contracts and terms. Understands alternate payment structures and quality incentives for ..
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 ..
Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
Description West Palm Beach area with ability to travel (up to 10%) to surrounding provider offices (Palm Beach; Martin; St Lucie; Indian River; Okeechobee; Brevard COUNTIES) The Coding Educator 2 identifies ..
Description CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works on ..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..
Job Information Humana OB Care Management Support Assistant 2/Medicaid (Bilingual English/Spanish or Creole) Remote FL in Melbourne Florida Description The Care Management Support Assistant 2 contributes to administration of care management. ..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..
... space, the medical device and healthcare industry, is rapidly changing. It ... inventions driving innovation in the healthcare space. **A day in the ... opportunity for a Strategic Account..
Job Information Humana RN Field Care Manager- roles available in Brevard, Indian River, St. Lucie, Palm Beach, and Martin counties in FL in Melbourne Florida Description We are seeking Private Pay ..
Job Information Humana PRN RN Field Care Manager- roles available in Brevard, Indian River, St. Lucie, Palm Beach, and Martin counties in FL in Melbourne Florida Description We are seeking Private ..
Description The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work ..
