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Senior Advisory Monitoring specialist HHS Regulatory Responsibilities Serve as a subject matter expert on controls and compliance programs for HHS-regulated areas e g Anti-Kickback Statute False Claims Act Billing Coding regulations ..
Senior Advisory Monitoring specialist Antitrust Consumer Compliance Responsibilities Serve as a subject matter expert on controls and compliance programs to mitigate antitrust and consumer compliance risks Advise other McKesson function on ..
Med Off Spec, PHG Johnston Willis - Richmond, VA','03053-27611','United States-Virginia-Richmond-Primary Health Group Inc.','Full-time','!*!HCA Physician Services implements innovative, value added solutions that help physicians deliver high quality, cost effective healthcare to support ..
Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Richmond Virginia Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..
Senior Advisory & Monitoring Specialist – Antitrust/Consumer Compliance Responsibilities: Serve as a subject matter expert on controls and compliance programs to mitigate antitrust and consumer compliance risks. Advise other McKesson function ..
Description The UM Compliance Letters Specialist/Coordinator 2 contributes to administration of utilization management in the Compliance department. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..
We have exciting employment opportunities for remote HIM Coding Specialists on our Outsource Coding Team.  Position Summary  The HIM Coding Specialist will handle medical coding and data entry / abstraction for ..
Description SeniorBridge is hiring a Per Diem Scheduler to cover On-Call hours as-needed. The On-Call Scheduling Specialist performs varied activities and moderately complex administrative/operational/customer support assignments, including paraprofessional scheduling and general ..
Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..
Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..
... Certified Diabetes Care and Education Specialist-Remote-US in Glen Allen Virginia Description ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Glen Allen Virginia Description The Fraud and Waste Professional 2 conducts investigations of allegations ..
Oncology Business Specialist -- Richmond, VA Do you want to be part of a team that works every day to develop innovative therapies for patients? Do you want to be part ..
Description The Medical Record Retrieval Specialist (Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding ..
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 ..
Job Information Humana Specialty Drug Site of Care Specialist in Glen Allen Virginia Description The Specialty Pharmacy Programs Clerk 2 supports clinical programs and comprehensive insights directly related to Specialty Pharmacy ..
Description The Care Manager, Telephonic Nurse 2 , 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 ..
Description The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where ..
Patent Counsel, Consumer Healthcare Duties: Draft and prosecute patent applications, along with patent portfolio management and IP strategy covering potential OTC medicines, cosmetics, vitamins and supplements, personal care products, packaging and ..
Description The Risk Adjustment Representative 2 conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other ..
Senior Advisory & Monitoring Specialist – HHS/Regulatory Responsibilities: Serve as a subject matter expert on controls and compliance programs for HHS-regulated areas (e.g., Anti-Kickback Statute, False Claims Act, Billing & Coding ..
Job Information Humana Senior Integration Specialist - Cloud in Glen Allen Virginia Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating functional silos existing between ..
Performance Improvement Consultant - Healthcare Revenue Cycle Services Overview of ... cross-functional teams. The Performance Improvement Specialist will be responsible for monitoring ... experience in front/middle and back-end healthcare revenue..
