Manager Healthcare Payer Jobs in Mississippi

... Clinical Analytics and Trend Program Manager in Ridgeland Mississippi Description The ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... Minimum 2 years working in..

... acumen to solve for the healthcare challenges of today. The Clinical ... anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... years or more working in..

... (CCM) organization is seeking a Manager, Fraud & Waste to join ... As the Fraud & Waste Manager at Humana, you will support ... that our members receive quality..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

Job Information Centerwell RN Clinical Manager in Tupelo Mississippi The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and organizes clinical ..

Job Information Centerwell RN Clinical Manager in Carthage Mississippi The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and organizes clinical ..

Description The Behavioral Health Care Manager, Telephonic Nurse, in a telephonic ... wellbeing of members. The Care Manager, Telephonic Nurse work assignments are ... seeking a Behavioral Health Care Manager..

... and support to the Clinical Manager(s). Works in conjunction with the ... and supervision to the Clinical Manager(s) to promote more effective performance ... with Sales Directors and Account..

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

Job Information Centerwell RN Clinical Manager in Meridian Mississippi The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and organizes clinical ..

Job Information Kindred at Home RN Clinical Manager in Union Mississippi The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and ..

Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..

Job Information Humana Lead Product Manager - Healthcare API in Ridgeland Mississippi Description ... Mississippi Description The Lead Product Manager - Healthcare API (SME) as part of ... Individual will..

... and support to the Clinical Manager(s). Works in conjunction with the ... and supervision to the Clinical Manager(s) to promote more effective performance ... with Sales Directors and Account..

Job Description Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on ..

Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..

Description The Associate Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Associate Director, Provider Contracting requires a solid understanding of how organization capabilities ..

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Ridgeland Mississippi Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..

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 ..

Job Information Humana Manager, Utilization Management RN - Remote ... in Ridgeland Mississippi Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..

U.S. Medical Management (USMM) is an affiliate of a leading Fortune 100 company. A national organization built on a continuum of care with premier healthcare providers, clinicians and patient focused individuals ..

Job Information Humana Product Manager Lead, Pharmacy Transformative Products Team, ... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With..