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Attorney Duties: Provide intensive training in writing, legal argumentation, and medical record analysis. From there, thinking outside the box is a must. Will manage an ample case load of corporate health ..
Clinical Analyst The candidate will quickly and efficiently review medical records and submit well-written appeals to health insurers and governmental payers. Will navigate through various computer systems and applications to find ..
Business Analyst The candidate will quickly and efficiently review medical records and submit well-written appeals to health insurers and governmental payers. Will navigate through various computer systems and applications to find ..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in Washington District Of Columbia Description The Associate Director, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic ..
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 ..
Description Job Description Summary 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 ..
Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Washington District Of Columbia Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work ..
... for a Senior Business Systems Analyst to join working remote anywhere ... US! The Senior Business Systems Analyst performs analysis of business, process ... specifications. The Senior Business Systems..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Washington District Of Columbia Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of ..
Job Information Humana Medical Director - Texas in Washington District Of Columbia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
The Government of the District of Columbia values the safety of our employees, our residents, and our visitors. In support of these values, if you are selected for this job, effective ..
... documentation to determine if an appeal is warranted. The Supervisor, Grievances ... customer service experience in the healthcare industry or medical field Minimum ... Lead or Supervisor, in the..
Job Information Humana UM Medical Director - Conviva in Washington District Of Columbia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..
Job Information Humana Medical Director - S. Florida in Washington District Of Columbia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..
Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The Nurse ..
Job Information Humana Medical Director - Florida Medicaid in Washington District Of Columbia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..