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... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... Medicaid business partners, including: Contracting, Credentialing, Referral/Authorizations, Claims, Grievance and Appeals, ... a Bachelor's degree in Business,..
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Job Information Humana UM Medical Director - Conviva in Anchorage Alaska Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
A hospital in Alaska is seeking a Psychiatry Physician to provide quality patient care for a Locum Tenens assignment. AssignmentDates: Immediate for 3 months plus locums coverageSchedule: Monday-Friday8:00 AM - 5:00 ..
Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Professional work assignments involve moderately ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Anchorage Alaska Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
**Providence is calling a Physical Therapist (Dept, Day Shift, 1.0 FTE - 40 hours per week) to Providence Alaska Medical Center in Anchorage, Alaska. We are a community of caregivers delivering ..
Save Refer friends Job description Commute time CompHealth has a variety of assignments that last anywhere from one day to one year. If you have any availability, reach out so we ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Anchorage Alaska Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
**Providence is calling a** **Respiratory Therapist I** **(Respiratory Therapy, Variable Shift, 0.0 FTE - PRN) to Providence Alaska Medical Center in Anchorage, Alaska.** **We are a community of caregivers delivering every ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
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 ..
... of services provided by other healthcare professionals in compliance with review ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
**Providence is calling a Physical Therapist (Physical Therapy, Day** **Shift, 1.0 FTE) to float between clinical settings at Providence Alaska Medical Center in Anchorage, Alaska.** **We are a community of caregivers ..
Job Information Humana Strategy Advisor, Healthcare Strategy in Anchorage Alaska Description ... Alaska Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
n n Helpn n Requirementsn Conditions of Employmentn n n n ntU.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA ..
