Medical Office Specialist Jobs in Newport

Veterinarian Hospital Medical Leader','United States-Rhode Island-PROVIDENCE-585 N Main ... The purpose of the Hospital Medical Leader position is to lead ... to their owners. The Hospital Medical Director represents the..

... 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..

Make a difference and provide better care at home! MasterPeace Caregivers possess that special something that makes them indispensable. They help our clients feel listened to and in control of their ..

... 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..

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..

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..

Job Locations: US-Virtual/Remote Category: Medical Coding Are you interested in ... the nation’s leading providers of medical coding services that is experiencing ... as one of the top medical coding..

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..

... assignment capsule includes reviewing of medical records for fraud, waste or ... well as review of Humana Medical Coverage Policies, CMS regulations, peer ... vaccination or documentation for a..

... 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..

Job Information Humana FP&A Lead, Medicaid Market in Newport Rhode Island Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..

Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Newport Rhode Island Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and ..

... 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 Care Team Medical Director in Newport Rhode Island ... Island Description The Care Team Medical Director is responsible for improving ... ground up. The Care Team Medical..

... 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..

... 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..

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 Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Newport Rhode Island Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special ..

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 ..

... 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..

Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Newport Rhode Island Description Humana is looking for an experienced Healthcare Investigator to join its ..

About Salve Regina University:nSalve Regina University, ranked as one of the most transformative colleges in the United States by Money Magazine, is a comprehensive Catholic University located in the scenic coastal ..

... Information Humana Manager, Pharmacy and Medical Trend in Newport Rhode Island ... drug trends, both pharmacy and medical, as well as the impact ... Humana profitability. Responsibilities Lead our..