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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 The Supervisor, Inbound Contacts represents the company by addressing incoming telephone, digital, or written inquiries. The Supervisor, Inbound Contacts works within thorough, prescribed guidelines and procedures; uses independent judgment requiring ..
Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team working remote/from home anywhere in the U.S. Responsibilities As a Board Certified ..
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 ..
... on medical background and reviews health claims. The Medical Director work ... phone to gather additional clinical information or discuss determinations regularly, and ... relationships, value based care, population..
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 ..
Job Information Humana Physician - CenterWell - ... for members of Medicare Advantage health plans and is committed to ... conditions. The practices also provide health education and value-added, well-being..
... on medical background and reviews health claims. The Medical Director work ... colleagues and the Regional VP Health Services. After completion of mentored ... management, discharge planning and/or home..
... profitability while improving our member's health and costs. This role functions ... trend while improving our member's health and costs. Developing concrete trend ... trend mitigation opportunities from abstract..
... around the world. For more information, visit www.progressrail.com and follow @Progress_Rail ... certification;u003cbru003e• COHN certification preferred.u003cbru003eu003cbru003e,VerityZone:formtext20,QuestionType:textarea,ActualValueFromSolar:null},{QuestionName:Job Title,AnswerValue:Occupational Health Nurse,VerityZone:formtext11,QuestionType:text,ActualValueFromSolar:null},{QuestionName:City,AnswerValue:Winston Salem,VerityZone:formtext13,QuestionType:text,ActualValueFromSolar:null},{QuestionName:Key Job Elements,AnswerValue:• Performs ... pre-employment program including review of..
... profitability while improving our member's health and costs. This role functions ... of insights from the gathered information. Responsibilities Responsibilities include the following: ... Role Desirables Board Certified Pharmacotherapy..
Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..
Job Information Humana Actuary, Risk and Compliance ... Compliance role assesses and communicates information regarding actuarial/business risks across the ... healthcare company committed to putting health and safety first for..
... for members of Medicare Advantage health plans and is committed to ... conditions. The practices also provide health education and value-added, well-being services ... and community members improve their..