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Description The Inbound Contacts Representative 1 represents the company by addressing ... inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a ... information such as..
... within the Medicaid line of business. Responsibilities The Behavioral Health Quality ... for the Medicaid line of business at the national level, and ... Medicaid markets. Provide ongoing wrap-around..
Description The Medical Coding Coordinator 3 extracts clinical information from ... information from a variety of medical records and assigns appropriate procedural terminology ... assigns appropriate procedural terminology and medical..
... are: The Association of American Medical Colleges is a not-for-profit association ... supporting the entire spectrum of medical education, medical research, patient care, and community ... Lead, as well..
... utilizes clinical nursing skills to support the coordination, documentation and communication ... coordination, documentation and communication of medical services and/or benefit administration determinations ... care, skilled or rehabilitation setting..
... case manager will offer guidance, support, and coordination of the beneficiary's ... implement, monitor, and evaluate the medical services required to meet the ... and to enhance quality of..
Job Information Humana UM Medical Director - Conviva in Washington ... District Of Columbia Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
... needs of patients who meet medical admission criteria. Responsibilities include patient ... appropriate levels of care & medical necessity. Performs a thorough on-site ... the patient’s care to determine..
... Stars and Risk Adjustment National Medical Director in Washington District Of ... individual contributor, this role will: 1) inform and support HQRI's provider strategy across Stars, ... this role..
... a 395-bed tertiary care, academic medical center located in downtown Washington, ... nation's leaders. As an academic medical center, GW Hospital has the ... hospital, is the 11th oldest..
... health knowledge and skills to support the coordination, documentation, and communication ... coordination, documentation, and communication of medical services and/or benefit administration determinations. ... appropriate criteria to make a..
... AVP to lead its Provider Support team and associate's responsibilities. HQRI ... and Improvement (HQRI) relies on medical background and industry-standard clinical / ... consistent across the enterprise to..
Job Information Humana Supervisor, Credentialing in Washington District Of Columbia Description Responsibilities The Supervisor, Credentialing Operations is responsible for supervising activities associated with certification and recertification of providers in the TRICARE ..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE ... Columbia Description This UM Administration Coordinator 2 will contribute to administration ... care equipment. The UM Administration Coordinator..
... will be a Humana Government Business/Humana Military associate located at and ... MD . The nurse will support the eMSM with the referral ... You will also provide remote/virtual..
Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure ... stage for final distribution all medical records received into the Medical Record Review Department. Analyze..
... provide patient services and administrative support in ancillary operations. Will act ... outcomes of the department. Will support team with training and problem ... ID to be stored in..
Description The UM Administration Coordinator 2 contributes to administration of ... utilization management. The UM Administration Coordinator 2 performs varied activities and ... activities and moderately complex administrative/operational/customer support assignments...
... The incumbent may supervise the medical assistant staff when indicated. MAJOR ... to appropriate care and established support systems (i.e., family, social, treatment ... with entire care team (Provider,..
... outcomes, and process efficiencies. Completes medical necessity and level of care ... Educates providers on utilization and medical management processes. Enters and maintains ... pertinent clinical information in various..
... Practice and Impact Georgetown University: Medical Center: School of Medicine: BGRO ... implement integrated service delivery models; support communities of practice to inform ... public health programs Provide technical..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..