Healthcare Credentialing Jobs in Mooresville

... 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,..

FULL TIME POSITION Genesis Rehab Services is a leading provider of Physical, Occupational, Speech and Respiratory Therapy for older adults in skilled nursing facilities, independent and assisted living communities, CCRCs, Transitional ..

Job ID 21000MFZAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..

Job Title: Credentialing Coordinator Pay: $20-22 per hour ... 5:30 pm Position Scope: Perform credentialing services providers. Prepare applications and ... all necessary follow up. Updating credentialing information (physicians, extenders..

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 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 ..

Description The Senior Professional, Medicaid Network Strategy will be accountable for supporting the development of Humana Healthy Horizon's (Medicaid) network and provider strategy for its growth markets. This strategist will provide ..

Job Information Humana Manager, Credentialing in Charlotte North Carolina Description ... a team of certification and credentialing professionals that to ensure required ... contract requirements. Work collaboratively with credentialing leaders..

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 ..

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 Supervisor, Credentialing in Charlotte North Carolina Description ... Carolina Description Responsibilities The Supervisor, Credentialing Operations is responsible for supervising ... years of experience in provider credentialing and/or..

Instructor Psychology - Req 6375 Instructor Psychology - Req 6375 Employer Central Piedmont Community College 1201 Elizabeth Avenue Charlotte, NC 28235 Phone: 704-330-2722 Job Location Central Campus Salary/Grade MA - $50,441 ..

Childcare Director in Training | Charlotte Area The Sunshine House Early Learning Academy is seeking a Director in Training for our schools in the Charlotte area. Are you looking for a ..

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 ..

Daycare Assistant Director | Charlotte The Sunshine House Early Learning Academy is seeking an Assistant Director for its preschool program in Charlotte. About The Sunshine House: Bright futures start here! The ..

Job Information Humana Strategy Advisor, Healthcare Strategy in Charlotte North Carolina ... Carolina 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 appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

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 ..

... 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..

Pediatric Hospitalist US-NC-Statesville Job ID: 2023-38357 Type: Physician - Pediatrician/Pediatric Hospitalist # of Openings: 1 Category: Physician NCIRMH Overview Live in the heart of Suburbia! Pediatrix Medical Group is seeking an ..

BCFM needed in ED Setting in Clinton, NCrnASAP-ongoingrnOffered dates:rnScheduled Clinical Hours CallrnInpatient & Outpatient ED SettingrnShifts can be split between physicians.rnrnMarch 1 9A-9P or 12P-12ArnMarch 11 9A-9P or 12P-12ArnMarch 18 9A-9P ..

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 ..

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 ..