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Reimbursement Director Duties: Manage the government reimbursement personnel for the corporation, and it reports to the Reimbursement Senior Director. Assists in the direction of the following areas for government payers for ..
... 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 Sandy Utah 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 ..
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 - S. Florida in Sandy Utah 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 Sandy Utah Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to ..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in Ogden Utah Description The Associate Director, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of ..
Job Information Humana Medical Director - Florida Medicaid in Sandy Utah 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 Sandy Utah 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 Sandy Utah Description The Associate Director, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of ..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in Salt Lake City Utah Description The Associate Director, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic ..
Job Information Humana UM Medical Director - Conviva in Sandy Utah Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
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 ..
