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Description The Senior Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Senior Stars Improvement, Clinical Professional work assignments involve moderately ..
... member's physical, environmental and psycho-social health issues. Identifies and resolves barriers ... in achieving and maintaining optimum health. We provide telephonic outreach to ... to assess and support their..
Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..
Apply Now Share this job Send yourself a reminder Alert me to jobs like this one CITY OF BIXBY JOB POSTING JOB TITLE: Development Services Director/City Planner SUPERVISOR'S TITLE: City Manager ..
... excellent professional development & continued education. Required Qualifications - What it ... healthcare company committed to putting health and safety first for our ... on social distancing and reduce..
Benefits Specialist Monday to Friday Full Time Pay 45k DOE ESSENTIAL DUTIES AND RESPONSIBILITIES: • Handles enrollments, COBRA, terminations, changes, beneficiaries, disability, accident and death claims • Oversees maintenance of employee ..
... on medical background and reviews health claims. The Medical Director work ... Humana Government Business's (HGB) Behavioral Health Medical Director will provide clinical ... provide clinical oversight to Behavioral..
Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..
Job Information Humana Behavioral Health Medical Director - Oklahoma Medicaid ... Director will oversee our behavioral health (BH) clinical program for Oklahoma ... management of behavioral and physical health services,..
Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..
Description Risk Adjustment Coders are responsible for reviewing medical records, completing multiple audits, and special projects. Associates in this role work collaboratively with other departments. Responsibilities The Risk Adjustment Coder ensures ..
... tuition reimbursement to support your education goals, granting scholarships to family ... DUTIES:Assesses patient’s knowledge and provides education regarding the relationship of diet ... impact on the treatment process.Provides..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Job Information Humana Specialty Drug Site of Care Specialist in Tulsa Oklahoma Description The Specialty Pharmacy Programs Clerk 2 supports clinical programs and comprehensive insights directly related to Specialty Pharmacy products ..
Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..
Description The Behavioral Health Medical Director responsible for behavioral ... Medical Director responsible for behavioral health care strategy and/or operations. The ... strategy and/or operations. The Behavioral Health Medical Director..
... excellent professional development & continued education. Required Qualifications - What it ... successful experience in completing efficient health-related research, with associated analysis and ... healthcare company committed to putting..
... 2 Certified Diabetes Care and Education Specialist-Remote-US in Tulsa Oklahoma Description The ... The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... comprehensive and member-centered..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Tulsa Oklahoma Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
... 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,..
Description The Pharmacy Development Specialist will be responsible for qualifying ... Responsibilities Summary The Business Development Specialist will be responsible for managing ... to travel periodically when requested. Education and/or..