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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 Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Bethesda Maryland Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..
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 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 Associate Director/Grievances and Appeals-Remote/Virtual in US in Bethesda Maryland Description The Associate Director, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of ..
... 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..
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 ..
... 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 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 ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Bethesda Maryland Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
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 ..
