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... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
... clinical in nature. Peer Support Specialists support individuals with behavioral health ... co-occurring disorders. Responsibilities Peer Support Specialists assists the process by performing ... with discharge planning Peer Support..
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 ..
You belong at St. Lukeu2019sOur family celebrates and supports you and encourages you to grow. Our family is there for you on the good days, the challenging days and everything in ..
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 ..
Additional Information About the Role Do you have a passion for customer service and healthcare? The ideal candidate will have customer service, authorization, and healthcare experience. Remote/ WFH M-F, 8:30-5 pm ..
Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to ..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..
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 ..
Scheduled Hours 40 Position Summary Position functions as a Medical Assistant in the department, prepares and maintains exam rooms, prepares charts, obtains reports and records; assists with patient flow and ensures ..
... of chronic conditions, navigate the healthcare system, and promote prevention and ... including case managers, peer support specialists, housing specialists, and SDOH coordinators Conduct in-person ... to healthy living..
Posting DetailsPRN (As Needed) Emergency Department Des Peres CampusnDescriptionnPrinciple Accountabilities: % of Time SpentnActs a patient liaison upon arrival to initiate patient flow and operations necessary to comply with managed care ..
Job Code 2173708I Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ..
Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to ..
