Manager Healthcare Payer Jobs in Birmingham

Description Be a part of the eBusiness team, drivers of provider self-service adoption through education and promotion of electronic transactions the Availity secure provider portal, Watson Voice, EDI, etc. As a ..

Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..

Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..

... acumen to solve for the healthcare challenges of today. The Clinical ... anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... years or more working in..

... Kindred at Home RN Case Manager, Home Health Full Time in ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical..

... Information Humana Behavorial Economics Program Manager - Test & Learn Portfolio ... acumen to solve for the healthcare challenges of today. The Clinical ... years or more working in..

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 ..

Job Information Kindred at Home Healthcare Account Executive in Birmingham Alabama As a Home Health Specialist , you will: Call on physicians, hospitals, skilled nursing facilities’ management, discharge planners, and case ..

Genesis a leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is delivered by ..

Job Description Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're ..

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

Job Information Humana Lead Product Manager - Healthcare API in Birmingham Alabama Description ... Alabama Description The Lead Product Manager - Healthcare API (SME) as part of ... Individual will..

... Clinical Analytics and Trend Program Manager in Birmingham Alabama Description The ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... Minimum 2 years working in..

Job Description Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on ..

... (CCM) organization is seeking a Manager, Fraud & Waste to join ... As the Fraud & Waste Manager at Humana, you will support ... that our members receive quality..

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

Job Information Centerwell RN Clinical Manager in Hoover Alabama The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and organizes clinical ..

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 ..

... at Home Registered Nurse Case Manager Full Time- 10K Sign On ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical..

Job Information Humana Product Manager Lead, Pharmacy Transformative Products Team, ... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With..

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). ..

... Information Centerwell Registered Nurse Case Manager Full Time in Birmingham Alabama ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical..

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Birmingham Alabama Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..