Healthcare Documentation Specialist Jobs in Lancaster

Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as a whole. As ... a whole. As a senior-focused healthcare provider, and subsidiary of..

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 ..

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..

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 ..

... 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..

Description Upstate South Carolina (Oconee County, Anderson, Greenville County) and Northeast GA (Madison, Elbert, Banks, Franklin County) The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 conducts quality assurance review of ..

Job Information Humana Specialty Drug Site of Care Specialist in Lancaster South Carolina Description The Specialty Pharmacy Programs Clerk 2 supports clinical programs and comprehensive insights directly related to Specialty Pharmacy ..

Job Information Humana Senior Integration Specialist - Cloud in Lancaster South ... Job Posting Title Senior Integration Specialist Job Description Summary The Senior ... ensure a holistic and comprehensive documentation..

Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..

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 ..

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 ..

... Certified Diabetes Care and Education Specialist-Remote-US in Lancaster South Carolina Description ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..

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

Job Information Humana Risk Adjustment Representative 3- Scheduler in Lancaster South Carolina Description The Risk Adjustment Representative 3 (Scheduler) conducts quality assurance review of medical records and ICD-9/10 diagnosis codes that ..

... 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..

Job Information Humana Vendor Management Specialist 3 in Lancaster South Carolina ... Carolina Description The Vendor Management Specialist 3 works as liaison between ... and organization. The Vendor Management Specialist..

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 ..

Job Information Humana Vulnerability Remediation Specialist (Remote) in Lancaster South Carolina Description The Systems Engineer 2 is responsible for design, analysis, configuration and maintenance of complex systems software solutions, based on ..

Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Lancaster South Carolina Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent ..

... 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..

... Information Kindred at Home Administrative Specialist / Human Resources Designee in ... Monroe North Carolina The Administrative Specialist / Human Resources Designee is ... HR related matters Process HR-related..

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 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 ..