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Technical Claims supervisor Major Case Unit Construction The candidate will deliver industry leading technical claim handling management claim outcomes business support and customer service Make claim services the firm competitive ..
Description The Senior Vehicle Fleet Management Professional operates and maintains motor vehicles and equipment. Schedules and dispatches the organization's vehicles and drivers. The Senior Vehicle Fleet Management Professional work assignments involve ..
Description The Medical Coding Auditor Supervisor handles a combination of tasks, including extracting clinical information from a variety of medical records and assigning appropriate procedural terminology and medical codes (e.g., ICD-10-CM, ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Job Information Humana Supervisor, Credentialing in Atlanta Georgia Description Responsibilities The Supervisor, Credentialing Operations is responsible for supervising activities associated with certification and recertification of providers in the TRICARE East Region. ..
Description The Supervisor, Provider Engagement develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working ..
Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..
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 ..
Description The Care Delivery Tele Sales Supervisor supports and develops a team of Care Delivery Tele Sales Agents. The Care Delivery Tele Sales Supervisor provides timely and effective support to assist ..
Job Information Kindred at Home Supervisor Authorizations and Eligibility in Marietta Georgia As the Financial Services Unit Supervisor , you will: Supervise daily billing and collections activities to ensure maximum efficiency. ..
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 Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
Job Information Humana Supervisor, Grievances & Appeals - Remote, ... in Atlanta Georgia Description The Supervisor, Grievances & Appeals manages client ... an appeal is warranted. The Supervisor, Grievances &..
Job Information Humana Supervisor, UM Administration-Remote in Atlanta Georgia Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; ..
Job Information Humana Care Management Supervisor (Prescription Assistance Program)- CenterWell-Remote in Atlanta Georgia Description The Supervisor, Care Management leads teams of health professionals responsible for assessing and evaluating patient's needs and ..
Description The Supervisor, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if a grievance, appeal, or further request is warranted ..
... Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... in Atlanta Georgia Description The Supervisor, Pre-Authorization Nursing will be managing ... to the appropriate stakeholder. The..
Technical Claims Supervisor - Major Case Unit Construction The candidate will deliver industry leading technical claim handling/management, claim outcomes, business support and customer service. Make claim services the firm competitive advantage. ..
Description The Supervisor, Quality Engineering carries out procedures to ensure that all information systems products and services meet organization standards and end-user requirements. The Supervisor, Quality Engineering works within thorough, prescribed ..
Description The Supervisor, Care Management leads teams of ... responsible for care management. The Supervisor, Care Management works within thorough, ... The Integrated RN Care Delivery Supervisor is responsible for..