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... compassionate care, medical education and research, and neighborhood outreach. As part ... grow, and succeed. The Reimbursement Analyst will perform the following job ... data for completeness, accuracy, and..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... for well-being Responsibilities The Senior..
Description The MarketPoint Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional works assignments involve moderately ... well-being Responsibilities The MarketPoint..
Description The Claims Educator is responsible for ensuring prompt and accurate provider claims processing of original claims, resubmissions, and overall adjudication of claims. The Claims Educator manages claims operations that involve ..
JOB SUMMARY Make the most of your clinical skills at an organization that has earned numerous awards for clinical excellence. Based in Roanoke, VA, our community-based health care organization encompasses a ..
Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and risk mitigation in implementing Humana's Provider Medicaid operational business. The Associate ..
... (Drug Supply Chain Security Act) compliance related tasks in support of ... will need to complete varied research and provide timely responses to ... Humana internal procedures Conducts independent..
Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the ... Roanoke Virginia Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental ... and governmental requirements. The..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Roanoke ... Roanoke Virginia Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
JOB SUMMARY Be at your best with an organization that equips you to do so. Whose people unite in making lives better. At Carilion Clinic, we help communities stay healthy and ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they ... Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities The Senior Compliance..
Description The Actuary, Pricing is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new plans ..
JOB SUMMARY Take this rare job opportunity to apply your skills to a dynamic new setting. Keep vital teams organized, informed, and fully prepared to succeed. At Carilion Clinic, our team ..
Job Information Humana Compliance Lead - Remote in Roanoke ... in Roanoke Virginia Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of .....
JOB SUMMARY Welcome to a promising future with this unique career opportunity. At Carilion Clinic, our team provides general billing support for Revenue Cycle in a forward-thinking environment. You will thrive ..
Description The Associate Actuary, Pricing is responsible for setting pricing assumptions and submitting bids. Supports implementation of rates, new plans and benefit changes. Provides guidance to Product Development on new product/benefit ..
Description The Workforce Management Professional 1 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
... business partners. These processes support compliance initiatives, new contracting strategies, and ... performance, business case realization, or compliance. Provider Process also supports business ... Senior Process Improvement Professional will:..
... compassionate care, medical education and research, and neighborhood outreach. As part ... and succeed. The Charge Master Analyst is responsible for the integrity ... Description Master (CDM). The CDM..
JOB SUMMARY Supports Carilion's hallmarks of service excellence and quality for all job responsibilities. Responsible for abstracting clinical information from the hybrid medical record, verifying information concurrently and upon discharge and ..