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Description The Partners in Primary Care (PiPC) Medical Coder conducts review of medical records to apply medical codes (ICD10, CPT, CPTII) for professional services that will be submitted to payers. The ..
... Manager, Utilization Management Nursing utilizes clinical nursing skills to support the ... Manager, Utilization Management Nursing uses clinical knowledge, communication skills, and independent ... for supporting new Medicaid Market..
... Director, Utilization Management Nursing utilizes clinical nursing skills to support the ... to grow, the National Medicaid Clinical Operations team is expanding our ... services organization to enhance the..
... to grow, the National Medicaid Clinical Operations team is expanding our ... services organization to enhance the clinical delivery process. The National Medicaid ... The National Medicaid Director of..
... duties related to oversight of clinical provision of care in their ... site clinicians with logjams and workflow issues. Oversight of provider quality ... to attend and represent the..
Description The Remote Systems Clinical Pharmacist will provide excellent customer ... maintaining relationships with Account / Clinical Management and PCO-IPU Operations teams. ... to the following: Account / Clinical Support..
Job Information Humana Call Center Pharmacy Claims Technician in Lancaster South Carolina Description Job Description Summary The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The ..
Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry. Responsibilities Be a part ... part of our Care Delivery Clinical Team - as a..
... on improving South Carolina Medicaid clinical quality performance measures to achieve ... in the fast-paced industry of healthcare, we offer our associates career ... impact on the future of..
... company that provides a SaaS-based healthcare analytics platform for medical records ... Risk Adjustment and comprehensive, year-round clinical data analysis efforts as well ... United States. Job Summary: The..
Description The Senior Clinical Business Professional assists in the ... physicians, physician groups, and integrated healthcare delivery systems throughout the country. ... delivery systems throughout the country. Healthcare isn't just..
... The Director, Health Services utilizes clinical nursing skills to support the ... The SC Medicaid Director, uses clinical knowledge, communication skills, and independent ... team Develop and monitor all..
Description Humana's Primary Care Organization is a leading provider of primary care for seniors, caring for >250k patients across 9 states under CenterWell and Conviva. We are rapidly expanding our value-based ..
... physicians, physician groups, and integrated healthcare delivery systems throughout the country. ... delivery systems throughout the country. Healthcare isn't just about health anymore. ... of our members, and the..
... allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures ... administrative activities; Ensures efficient pharmacy workflow and a positive patient experience. ... a timely manner and answers..
Description Healthcare is rapidly changing, and our ... their health partners. Humana's Enterprise Clinical Operating Model (ECOM), is a ... outcomes through better integrating Humana's clinical capabilities, processes, and technology...
Description The Senior Clinical Strategy and Practice Professional builds ... strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The ... within the enterprise..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
... Humana Lead Product Manager - Healthcare API in Lancaster South Carolina ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
