Healthcare Documentation Specialist Jobs in Danbury

... hours as-needed. The On-Call Scheduling Specialist performs varied activities and moderately ... of the branch, the Scheduling Specialist may be responsible for part ... Ensures that all required pre-employment..

Job Information Humana Clinical Pharmacy Lead, Remote in Bridgeport Connecticut Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and ..

Description Risk Adjustment Coders are responsible for reviewing medical records, completing multiple audits, and special projects. Associates in this role work collaboratively with other departments. Responsibilities The Risk Adjustment Coder ensures ..

Job Information Humana Medical Director - S. Florida in Bridgeport Connecticut Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

... of coding practices and clinical documentation, grievance and appeals processes, and ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..

Description The Clinical Pharmacy Lead for Pharmacy trend will be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual ..

... NY. At Optum, we aretransforming healthcare nationally while providing physician-led care ... which lie within the nurse specialist's scope of practice, by using ... test before beginning employment. Categories..

Description Job Description Summary 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 ..

Job Information Humana FP&A Lead, Medicaid Market in Bridgeport Connecticut Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in Bridgeport Connecticut Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..

Job Information Humana Medicare Appeals and Grievance Medical Director in Bridgeport Connecticut Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..

Director of the Pediatric Residency Program Category: Academics Subscribe: Department: College of Health Professions [CHP] Locations: Fairfield, CT Posted: Apr 19, 2023 Closes: Apr 21, 2023 - 11:59 PM EDT Type: ..

Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..

Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..

... of services provided by other healthcare professionals in compliance with review ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..

Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Bridgeport Connecticut Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and scope ..

... looking for an experienced Senior Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... Qualifications Bachelor's degree or significant..

... is looking for an experienced Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... areas Bachelor's degree or significant..

... whether services provided by other healthcare professionals are in agreement with ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..

Join a team of dynamic, results oriented professionals! Named among  The World's Most Admired Companies  by Fortune Magazine Named among  America's 100 Most Trustworthy Companies  by Forbes magazine Named among  Great ..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Bridgeport Connecticut Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..

Job Information Humana Clinical Formulary Strategy Pharmacist - Work At Home in Bridgeport Connecticut Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug development pipeline, and medical literature, while providing clinical ..