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... Telephonic Behavior Health 2) will audit CPT (Current Procedural Terminology) codes ... be responsible for the administration and monitoring of the Autism Care ... Plan (EFMP). Auditing for quality..
... support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE ... Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The ... on problems of diverse..
Description The Compliance Professional 2 ensures the successful ... This is done by attending and facilitating regular project implementation meetings, ... project implementation meetings, tracking policy and procedures and ensuring..
... data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for business ... on problems of diverse scope and complexity ranging..
... support areas such as Marketing and Communications, Human Resources/Talent, Information Technology, ... Resources/Talent, Information Technology, Facilities Management, and Financial Support Services. SAP Platform ... Are you passionate about technology..
Description The IT Compliance Professional audits the most complex ... audits the most complex new and existing information systems applications to ... exist, that processing is efficient and accurate, and..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities Seeking Senior..
... Information Humana Storage Administrator- Storage and Backup in Birmingham Alabama Description ... to helping people live healthy and happy through personalized care. Following ... are looking for talented Storage..
... to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, ... uses clinical knowledge, communication skills, and independent critical thinking skills towards .....
... support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer ... Group product implementation, operations, contract compliance, and federal contract application submissions. Responsibilities ... for all assigned health..
... providing investigative responses to various audit activity, and developing and maintaining guidelines. Responsibilities The Pharmacy ... Pharmacy Claims Professional 2 analyzes and answers inquiries regarding pharmacy claims ... payment,..
... support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer ... Group product implementation, operations, contract compliance, and federal contract application submissions. Responsibilities ... to drive cross-market coordination,..
... plan's strategic opportunity for growth, audit/survey analysis, action plan oversight, implementation ... analysis, action plan oversight, implementation and coordination, provider services and network development and required credentialing processes and..
