Manager Healthcare Payer Jobs in Winchester

Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Partners in Primary Care, a division of ..

... 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..

... Clinical Analytics and Trend Program Manager in Las Vegas Nevada Description ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... Minimum 2 years working in..

Description The Behavioral Health Care Manager, Telephonic Nurse, in a telephonic ... wellbeing of members. The Care Manager, Telephonic Nurse work assignments are ... seeking a Behavioral Health Care Manager..

Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of ..

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 ..

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

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..

Job DescriptionnNursing Manager/Director(DON) / Travel / Medical-SurgicalnNursing Manager/Director Medical-SurgicalnType: Rehab Manager/Director nLas Vegas, NVnMAS Medical Staffing ... is currently seeking a(n) Rehab Manager/Director professional with Nursing Manager/Director (Medical-Surgical) experience for..

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

Description Responsibilities 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, ..

... of the MRA team, the Manager will work closely with market ... based on advanced knowledge/experience. The Manager, Risk Adjustment works within specific ... approach, resources, schedules and goals.The..

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 Centerwell RN Clinical Manager Home Health Full Time in Las Vegas Nevada The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, ..

... (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, Utilization Management RN - Remote ... Las Vegas Nevada Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..

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

Job Description Position Summary EMPLOYER PAID PENSION PLAN OF 29.75% OF YOUR ANNUAL SALARY! GENEROUS BENEFITS PACKAGE! **OPEN TO CURRENT UMC EMPLOYEES ONLY** This position is considered AT-WILL and will serve ..

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 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 ..

... at Home Registered Nurse Case Manager Full Time - $10,000 sign ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical..

Job Description:Intermountain Healthcare is a system of 24 ... quality, cost, and innovation, Intermountain Healthcare brings 45 years' experience in ... care more accessible and affordable.Intermountain Healthcare is looking for..