Healthcare Improvement Specialist Jobs in Dover, Delaware | Healthcare Jobs | EmploymentCrossing.com


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16

Healthcare Improvement Specialist Jobs in Dover






Job info
 
Company
**********
Location
Middletown, DE
Posted Date
Dec 13, 2020
Info Source
Employer  - Full-Time  90  

Veterinarian Hospital Medical Leader','United States-Delaware-MIDDLETOWN-659 Middletown Warwick Rd (3777)','659 Middletown Warwick Rd','','MIDDLETOWN','19709','Full-time','Pet Services','!*! Our Mission: Mission: with more than 50 years of service to pet parents, Petco is a leading pet ..

 
Company
**********
Location
Dover, DE
Posted Date
Dec 16, 2020
Info Source
Employer  - Full-Time  90  

Description Humana is seeking an experienced management professional to lead an interactive team with broad exposure and scope within Humana. This position will work and collaborate with leaders across the Humana ..

 
Company
**********
Location
Dover, DE
Posted Date
Mar 06, 2021
Info Source
Employer  - Full-Time  90  

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..

 
Company
**********
Location
Dover, DE
Posted Date
Mar 21, 2022
Info Source
Employer  - Full-Time  90  

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

 
Company
**********
Location
Dover, DE
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

 
Company
**********
Location
Dover, DE
Posted Date
Oct 05, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..

 
Company
**********
Location
Dover, DE
Posted Date
Jun 26, 2023
Info Source
Employer  - Full-Time  90  

Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..

 
Company
**********
Location
Dover, DE
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

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

 
Company
Location
Dover, DE
Posted Date
Apr 22, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

 
Company
**********
Location
Dover, DE
Posted Date
May 04, 2023
Info Source
Employer  - Full-Time  90  

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

 
Company
**********
Location
Dover, DE
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..

 
Company
**********
Location
Dover, DE
Posted Date
Sep 24, 2021
Info Source
Employer  - Full-Time  90  

... We are the future of healthcare and our mission is to ... will help members through their healthcare journey, ensuring they get the ... are: Passionate about transforming our..

 
Company
**********
Location
Dover, DE
Posted Date
Dec 16, 2021
Info Source
Employer  - Full-Time  90  

Description The Staff Clinical Pharmacist is an integral part of the Clinical Drug Policy Management team which ensures synchronization of formulary utilization management policies across multiple systems. Humana is seeking a ..

 
Company
**********
Location
Dover, DE
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Dover, DE
Posted Date
May 26, 2023
Info Source
Recruiter  - Full-Time  90  

... to welcome a Clinical Nurse Specialist Inpatient Care to join their ... their team. The Clinical Nurse Specialist Inpatient Care will work for ... ambitious and knowledgeable Clinical Nurse..

 
Company
**********
Location
Dover, DE
Posted Date
May 13, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

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