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Description The Senior Claims Research & Resolution Professional manages claims ... the organization. The Senior Claims Research & Resolution Professional work assignments ... Responsibilities Description The Senior Claims Research &..
... be encouraged to contribute to research within the School and join ... School and join an appropriate research group. We offer nursing associate, ... CPD programmes in the School...
Description: The School of Nursing and Midwifery at the University of Plymouth is looking for experienced Registered Nurses wishing to develop their career in an education setting - with proven ability ..
Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives that maximize customer value to create a differentiated value proposition for Humana ..
Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the ..
... social engagement, and world class research which all feature strongly in ... Institute of Health and Care Research is the core of research activity, providing a thriving community .....
Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..
Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..
Job Information Humana Bilingual Quality Auditor in Portsmouth New Hampshire Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. ..
Job Location NH - Dover Office - Dover, NH Position Type Full Time Education Level Bachelors Degree Travel Percentage Up to 75% Job Shift Various Shift Hours Job Category Nonprofit - ..
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 ..
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 ..
Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
Description Humana's Marketing Organization is seeking a Consumer Experience Professional to join the Market Research Loyalty & Advocacy Insights team. This enterprise team focuses on data analysis and generating insights from ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Mental Health Team Manager University of Exeter - Education and Student Support (Wellbeing Services) Location: Exeter Salary: The starting salary will be from £36,382 up to £40,927 per annum pro rata ..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Portsmouth New Hampshire Description Humana is looking for an experienced Healthcare Investigator to join its ..
... trusts to drive forward clinical research and support students in their ... nursing. An interdisciplinary approach to research covers sustainability, the evolution of ... Plymouth has a strong interdisciplinary..
Level Experienced Job Location NH - Dover Office - Dover, NH Position Type Full Time Education Level Bachelors Degree Travel Percentage Up to 75% Job Shift Various Shift Hours Job Category ..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Portsmouth New Hampshire Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives ..
... is seeking an experienced Market Research Lead to join the Market ... Lead to join the Market Research Department working remote anywhere in ... membership. Responsibilities As the Market..