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Description The Pharmacy Claims Lead operationalizes and monitors Coordination ... Cultural Competency Enable personal & professional growth Develop analytics and reporting ... business Actively identifies and owns process improvements and..
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Description The Medical Coding Coordinator 2 extracts clinical information from a ... records. The Medical Coding Coordinator 2 performs varied activities and moderately ... Responsibilities The Medical Coding Coordinator 2..
... Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, ... Senior Clinical Strategy and Practice Professional work assignments involve moderately complex ... Responsibilities The Senior Behavioral Health..
... Manager Company: Travelers Insurance Category: Claims Location: Phoenix, Arizona Tweets by ... Medical Case Manager Target Openings 2 Job Description Summary Great opportunity ... of quality medical care on..
... patient and drug information and process prescriptions. If PTCB certified, assists ... with state, federal, and company policy. Reviews and complies with the ... adheres to the Walgreen Co...
Description The Health Information Management Professional 2 ensures data integrity for claims errors. The Health Information Management ... errors. The Health Information Management Professional 2 work assignments are varied and..
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 ..
... The Senior Fraud and Waste Professional conducts investigations of allegations of ... The Senior Fraud and Waste Professional work assignments involve moderately complex ... The Senior Fraud and Waste..
... and shared leadership of staff. 2. Assists in setting and maintaining ... state; coding accuracy; % clean claims; staff stats; etc. Participates in ... requirements, as well as applicable..
Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management ... errors. The Health Information Management Professional work assignments are varied and ... Responsibilities..
Description The Senior Health Information Management Professional work assignments involve moderately complex to complex issues to work with various teams to develop business requirements, track and monitor the success of the ..
... mind and spirit. The Pharmacy Claims Reviewer is responsible for reviewing ... is responsible for reviewing pharmacy claims submitted through the CVS Health ... submitted through the CVS Health..
... related issues which may include claims inquiries, enrollment issues, travel attestations, ... Manual (TRM), and the TRICARE Policy Manual (TPM). Assist with questions ... with qualifying ASD diagnoses. Provide..
... The Senior Fraud and Waste Professional conducts investigations of allegations of ... The Senior Fraud and Waste Professional work assignments involve moderately complex ... Knowledge of healthcare payment methodologies,..
... department. Required Qualifications CPC (Certified Professional Coder) Certification or equivalent required ... Advanced knowledge of billing / claims submission and other related functions ... time According to Humana's COVID-19..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
Description The Senior Market Development Professional provides support to assigned health ... support. The Senior Market Development Professional work assignments involve moderately complex ... Responsibilities The Senior Market Development Professional..
... systems, and by ensuring correct claims payment and appropriate diagnosis related ... well-being. We also provide excellent professional development & continued education. This ... work experience reading and interpreting..
Description The Senior Compliance Professional ensures compliance with governmental requirements, ... care programs. The Senior Compliance Professional work assignments involve moderately complex ... factors. Responsibilities The Senior Compliance Professional develops..
... well-being. We also provide excellent professional development & continued education. Required ... direct reports Prior health insurance claims experience Excellent PC skills (including ... or religious exemption consideration. This..
