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The Education Support Specialist is responsible for clerical needs ... system. Related experience in a medical office practice. Knowledge of psychiatric and ... practice. Knowledge of psychiatric and medical records..
... Units -- The Inpatient Support Specialist (ISS) responds to the clerical ... required are experience as a Medical assistant or a clerk in ... a clerk in a physician's..
... review team is seeking a Medical Coding Auditor with a special ... review information provided in the medical records they must understand what ... this information confidently to other..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... Government Business's (HGB) Behavioral Health..
... analyze and solve more complex medical problems than at the entry ... residency program sponsored by VHA Office of Academic Affiliations or other ... to analyze and solve complex..
Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..
Job Information Humana Care Team Medical Director in Portland Maine Description ... Maine Description The Care Team Medical Director is responsible for improving ... ground up. The Care Team Medical..
Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Portland Maine Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and scope ..
... Information Humana Manager, Pharmacy and Medical Trend in Portland Maine Description ... drug trends, both pharmacy and medical, as well as the impact ... Humana profitability. Responsibilities Lead our..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The Medical..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Portland Maine Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..
... monitors drug development pipeline, and medical literature, while providing clinical support ... coverage policies for pharmacy and medical administered drug products. This individual ... Preferred Qualifications Board Certified Pharmacotherapy..
Job Information Humana FP&A Lead, Medicaid Market in Portland Maine Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
Description The Behavioral Health Medical Director responsible for behavioral health ... and/or operations. The Behavioral Health Medical Director work assignments involve moderately ... Government Business's (HGB) Behavioral Health Medical Director..
... Contact Us Blog COVID-19 My office: Find Other Office I want to Explore Care ... and personal hygiene Assists Behavioral Specialist or Teacher with implementation of ... employment status...
... strong, supportive relationships with the Medical Center. Health Center's providers are ... active members of the Hospital's Medical Staff. Practice Characteristics The successful ... are referred for delivery to..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
... coordination, documentation and communication of medical services and/or benefit administration determinations. ... in reviewing actual and proposed medical care and services against established ... against established CMS and Humana..
... team of 20-25 nurses and medical professionals that performs the following ... that performs the following functions: medical necessity/level of care reviews, provider ... education on the utilization and..
... The Supervisor, Pre-Authorization Nursing: Completes medical necessity and level of care ... Educates providers on utilization and medical management processes. Enters and maintains ... pertinent clinical information in various..
... iCare is seeking an Enrollment Specialist who will support the iCare ... BadgerCare Plus. Responsibilities The Enrollment Specialist is responsible for iCare enrollment ... more years' experience in the..
... Coders are responsible for reviewing medical records, completing multiple audits, and ... while analyzing coding information and medical records. May participate in provider ... be used as a home..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Portland Maine Description Humana is looking for an experienced Healthcare Investigator to join its industry ..
