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Position OverviewThe HSC Specialist provides third level service support ... knowledge transfer to the Siemens Healthcare Regional Units and business partners ... service support to the Siemens Healthcare Regional Units..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Job ID 21000AEOAvailable Openings 1 PURPOSE AND SCOPE: Supports FMCNA’s mission,vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. Functions ..
... Thorough case management, including diligent documentation of investigation activities, on-site audits, ... two years experience handling laboratory healthcare fraud investigations end to end ... analysis and reporting Knowledge of..
Job Information Humana Senior Integration Specialist - Cloud in Dover Delaware ... Job Posting Title Senior Integration Specialist Job Description Summary The Senior ... ensure a holistic and comprehensive documentation..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
Remote Inpatient Coding Opportunity – Full-time/Director Hire Requirements: 3+ years of Inpatient Coding, Auditing experience preferred Credentials: CCS, RHIT, or RHIA Required Reviews and evaluates hospital inpatient medical record documentation to ..
Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Dover Delaware Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and ..
Summary: This individual functions under the guidance of the registered nurse and is responsible for performing scrub duties and maintaining quality patient care as a member of the Operating Room ..
Job Information Humana Vendor Management Specialist 3 in Dover Delaware Description ... Delaware Description The Vendor Management Specialist 3 works as liaison between ... and organization. The Vendor Management Specialist..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Dover Delaware Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Wilmington Delaware Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and ..
Description The Pharmacy Development Specialist will be responsible for qualifying ... Responsibilities Summary The Business Development Specialist will be responsible for managing ... Pharmacia. Meticulous, timely, and accurate documentation of..
Job Information Humana Pharmacy Claims Specialist, Remote in Dover Delaware Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 performs ..
Job Information Humana Specialty Drug Site of Care Specialist in Dover Delaware Description The Specialty Pharmacy Programs Clerk 2 supports clinical programs and comprehensive insights directly related to Specialty Pharmacy products ..
Job Information Humana Vulnerability Remediation Specialist (Remote) in Dover Delaware Description The Systems Engineer 2 is responsible for design, analysis, configuration and maintenance of complex systems software solutions, based on a ..
Description The UM Specialist /UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
... 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..
Description The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where ..
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 ..
... 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..
... the global leader in dialysis healthcare, we form bonds that enable ... a member of the interdisciplinary healthcare team, supporting the FMCNA commitment ... guidelines. Maintains complete and accurate..