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Credentialing Coordinator Duties Processing credentialing requests Completing enrollment applications for Medicaid Medicare and new commercial payers Initiating credentialing follow-up in response to business changes and M A transactions Ongoing credentialing tasks ..
General Counsel Responsibilities Oversee legal matters for the organization including drafting reviewing and negotiating contracts and legal documents Ensure that the company is in compliance with all relevant processes laws and ..
General Counsel The candidate will advise and guide the leadership team on legal matters and developing legal strategy to protect and promote the company s interests Hands-on delivery of legal services ..
Description The Behavioral Health Medical Director responsible for behavioral health ... and/or operations. The Behavioral Health Medical Director work assignments involve moderately ... Government Business's (HGB) Behavioral Health Medical Director..
... The Senior Professional collaborates with healthcare professionals, pharmacists, and other business ... functions to implement formulary and medical strategies for the Medicaid line ... The Senior Professional collaborates with..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... whether services provided by other healthcare..
Description The Behavioral Health Medical Director makes determinations regarding prior ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical Directors..
Family Medicine provider needed in Minnesota. Work with an esteemed practice in the northern Midwest and enjoy several benefits and bonuses in this employed opening. Call today!Hospital Employee . Annual Salary. ..
We are seeking a BE/BC Family Medicine Physician to join our team. The Primary Care Physician will work as a leader of a Care Team. The physician will work collaboratively with ..
... transformative business results. The Regional Medical Liaison (or Medical Science Liaison) is a member ... as an extension of the Medical Affairs organization. RMLs are responsible ... and enhancing..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization ..
Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
Our client in Minnesota is looking for a Board Eligible/Board Certified Family Medicine physician to fill an immediate need. This position is outpatient-only and has minimal telephone call. You will be ..
Description The Medical Coding Coordinator 3 extracts clinical ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
We are seeking a Family Medicine physician in the Minneapolis suburbs! Work near a thriving Midwest metro in a practice situated among scenic forests, rivers, lakes, parks, and golf courses. Annual ..
This is an opportunity for Family Medicine physicians just one hour from the Twin Cities! You are invited to partner with one of the nation's best hospitals, ranked #1 in more ..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..
A revenue cycle and health information management solutions company has an open position for a Telecommute Inpatient Medical Coding Auditor. Core Responsibilities Include: Providing audit services including ICD-9-CM/PCS and ICD-10-CM/PCS Coding ..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... Government Business's (HGB) Behavioral Health..
... Stars and Risk Adjustment National Medical Director in Minneapolis Minnesota Description ... in Minneapolis Minnesota Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. This role relies on..
Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..
Description The Medical Director's primary responsibility is the ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of a..
