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... 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..
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 Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Atlanta Georgia Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..
Job Information Humana Medical Director - S. Florida in Atlanta Georgia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Job Information Humana Medical Director - Texas in Atlanta Georgia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to ..
... 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 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 ..
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 ..
A law firm in Atlanta, GA, is seeking a Workers' Compensation Associate Attorney with a minimum of 1 year of experience, primarily in workers' compensation. The successful candidate will be responsible ..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in Atlanta Georgia Description The Associate Director, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of ..
Job Information Humana UM Medical Director - Conviva in Atlanta Georgia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Job Information Humana Medical Director - Florida Medicaid in Atlanta Georgia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Atlanta Georgia Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
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 ..
