Healthcare Documentation Specialist Jobs in Springfield

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 ..

Job Information Humana Vendor Management Specialist 3 in Springfield Missouri Description ... Missouri Description The Vendor Management Specialist 3 works as liaison between ... and organization. The Vendor Management Specialist..

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

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 ..

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

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

Job Information Humana Care Management Supervisor (Prescription Assistance Program)- CenterWell-Remote in Springfield Missouri Description The Supervisor, Care Management leads teams of health professionals responsible for assessing and evaluating patient's needs and ..

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

Job Information Humana Pharmacy Claims Specialist, Remote in Springfield Missouri Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. ..

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

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

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 ..

... 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..

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 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 ..

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

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

... 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..

... Certified Diabetes Care and Education Specialist-Remote-US in Springfield Missouri Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..