Manager Healthcare Payer Jobs in Delaware

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 ..

Caregiving is our Calling At Amedisys whether we're caring for patients directly or supporting those who do, each of us is a caregiver at heart. Every team member contributes to our ..

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). ..

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 Responsibilities 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 ..

... (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..

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). ..

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

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 Humana Manager, Fraud and Waste-Remote US in ... in Wilmington Delaware Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

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

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

... 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..

Posted: 27-Feb-22 Location: Newark, Delaware Salary: Open Categories: Executive Internal Number: JR59783 ChristianaCare, a Magnet(r) organization, is the greater Philadelphia region's only hospital to make this year's Truven Health Analytics list ..

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

... are seeking an Assistant Nurse Manager our Medical/Surgical Unit (4W) at ... both units with the Nurse Manager and the other ANMs. Highlights: ... us Top 5 Best Large..

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

Description The Manager, STARS Improvement develops, implements, and manages oversight of the company's Medicare Stars Program. This position will manage the Stars improvement team. Responsibilities The Manager, STARS Improvement develops the ..

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..

... Loading... Please wait. Assistant Nurse Manager- Neuro/Spine (Day Shift) Operating Room ... RN EvergreenHealth Kirkland, Washington CLINIC MANAGER ALVORD BRAIN TUMOR CENTER - ... Wisconsin Milwaukee, Wisconsin Stroke Program..

... Are you interested in driving healthcare forward? Some of the best ... here in Delaware! ChristianaCare, a healthcare organization with 1100 beds between ... the position of Assistant Nurse..