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Description The Director, Health Services utilizes clinical nursing skills to ... documentation and communication of medical services and/or benefit administration determinations. The ... administration determinations. The Director, Health Services requires..
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Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
... Information Humana Regional VP, Health Services (Mid-Atlantic Region) in Glen Allen ... Description The Regional VP, Health Services relies on medical background and ... claims. The Regional VP, Health..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Description The Provider Services Market Rollout Senior Professional provides ... and effective rollout of provider services models and strategies in new ... tracking, and timelines for provider services project plan..
Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... leadership and external exposure with healthcare providers in OH,..
(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) Westat is an employee-owned corporation providing research services to agencies ..
Deliver compassionate patient care through TeamHealth's opportunity for a full-time hospitalist physician to join our team at Johnston-Willis Hospital in Richmond, Virginia. We are actively interviewing board certified or board eligible ..
Description The Social Services Care Manager, 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 facilitate interaction ..
Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional ..
... evaluate options to facilitate appropriate healthcare services/benefits for members Gathers clinical information ... to integrate with other products, services and/or programs Identifies opportunities to ... to promote quality effectiveness..
Description Join Humana's Talent Acquisition organization to support our growing Healthcare Services division! The Senior Physician Recruiter recruits qualified physicians for medical staff and assists in development of strategic physician recruitment ..
Description Responsibilities If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver ..
Richmond, Virginia outpatient managed care position available. Join a physician led organization specializing in geriatrics care with multiple clinic locations in the metro area. Enjoy a great work/life balance with a ..
Performance Improvement Consultant - Healthcare Revenue Cycle Services Overview of Position The Performance ... experience in front/middle and back-end healthcare revenue cycle services with specific expertise in the ... transformational..
... reviews for inpatient and outpatient services to ensure that members receive ... clinically appropriate and medically necessary services. All work occurs within a ... decisions about the appropriateness of..
... to make determinations whether requested services, requested level of care, and/or ... and appeals processes, and outpatient services and equipment, within their scope. ... medical interpretation and determinations whether..
