Healthcare Reimbursement Manager Jobs

Description The Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Director, Provider Contracting requires an in-depth ..

Job Information Humana Manager, Behavioral Provider Contracting - Remote ... Albany New York Description The Manager, of Behavioral Health Provider Contracting ... contract terms, payment structures, and reimbursement rates to..

Description The Director, Provider Reimbursement is responsible for the leadership, ... execution of Humana Military's provider reimbursement methodologies. This leader is responsible ... payment system software, and provider-specific reimbursement factors..

DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your own.Connect with your goals and change liveswith ..

Job Information Humana Manager, Utilization Management Nursing - Medicare ... Albany New York Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..

Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides health insurance. Requires an in-depth understanding of ..

Job Information Kindred at Home Physical Therapist, Home Health Full Time in Albany Texas As a Home Health Physical Therapist , you will: Plan and administer prescribed skilled physical therapy treatment ..

Permanency Care Manager, Foster Care Job Details Job ... seeking a full-time Permanency Care Manager out of our Schenectady location. ... settings. What a Permanency Care Manager can expect at..

... 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..

Job Information Humana Manager, Fraud and Waste-Remote US in ... Albany New York Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

... 41) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... President, Strategy Advancement for our..

... as directed by the Clinical Manager. Confer with physician in developing ... with physician orders, under Clinical Manager's supervision. Revise plan in consultation ... Coordinate appropriate care, encompassing various..

Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..

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 Hospital Engagement Executive will interface with contracted Hospital Systems in the Northeast to support our growth and profitability objectives. This person represents the Humana/Hospital relationship internally and externally across ..

... 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 Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Hospital Contracting Executive works on problems ..

... as directed by the Clinical Manager. Confer with physician in developing ... with physician orders, under Clinical Manager's supervision. Revise plan in consultation ... Coordinate appropriate care, encompassing various..

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

Job Information Humana Manager, Utilization Management RN - Remote ... Albany New York Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..

... as directed by the Clinical Manager. Confer with physician in developing ... with physician orders, under Clinical Manager's supervision. Revise plan in consultation ... Coordinate appropriate care, encompassing various..

Description The Associate Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Associate Director, Provider Contracting requires ..

Job Information Humana Director, Contract Tools, Education, Processes (remote Eastern time zone) in Albany New York Description The Director, Contract Tools, Education, Processes manages templates, standard documentation, policy and protocol, case ..