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Chisolm Compliance – Coordinator II The candidate will act as the Lead of the Chisolm Notice Review process. Will execute the approval and denial determination process appropriately and per guidelines/regulations. Efficiently ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Job Information Humana Behavioral Health Medical Director - Louisiana Medicaid in Metairie Louisiana Description Humana's Louisiana Medicaid BH Medical Director will oversee our behavioral health (BH) clinical program for Louisiana Medicaid ..
Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to ..
Description The Community Health Worker/Care Management Support Professional 1 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or ..
Company Name: Kroger Specialty Pharmacy Position Type: Employee FLSA Status: Non-Exempt POSITION SUMMARY Perform duties to assist patients with access to benefits and co-pay cards, and schedule delivery of prescriptions provided ..
Description The Clinical Applications Trainer (aka Senior Technology Sales Professional) promotes and sells a portfolio of technical products and/or services and solutions directly to current and new end customers. The Senior ..
Description The Claims Research & Resolution Professional 2 works with enterprise shares team comprised of calls/claims/contracting and external provider associates researching the resolution to a pending inquiry. Understands department, segment, 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 ..
Cardiovascular Invasive Laboratory Specialist IV AdventHealth Tampa Location Address: ... medications according to policy and training. Functions appropriately in clinical emergencies. ... base to assist with orientation, training, and education..
... knowledge, leveraging available tools and training resources, to develop the basic ... pharmacy scheduling. • Coordinates/implements the training and development of support staff ... of support staff with field..
Principal Intelligence Specialist, Member Supervision Duties: Leads projects ... under general the supervision of specialist unit management. Works with stakeholders ... tasks related to member firm/investor education that may include..
... to join the SAIC Controller Training Solutions (CTS) team providing air ... team providing air traffic controller training services for the Federal Aviation ... control specialists and provides recurrent..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
... Information Humana Senior Contract Tools, Education, Processes Professional - Remote in ... Description The Senior Contract Tools, Education, Processes Professional builds templates, standard ... knowledge. The Senior Contract Tools,..
... support your growth with the training, mentorship, and guidance you need ... activities and assist with sales training for Medtronic CoreValve System and ... responsibilities; feedback/coaching, development planning, employee..