Medical Office Specialist Jobs in Pittsburgh

... 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..

... brand for a primary care medical group practice with centers open ... maintains patients' health information in medical records and charts. The Medical Records Clerk 2 performs varied .....

Job Information Humana Care Team Medical Director in Pittsburgh Pennsylvania Description ... Pennsylvania 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 Pittsburgh Pennsylvania Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and scope ..

... 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..

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 ..

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..

... 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..

Come join a beautiful western Pennsylvania practice and enjoy easy access to Pittsburgh. This is a family oriented community with excellent schools and affordable housing options. Be a part of this ..

We have an immediate opportunity for Admissions Representatives General Summary: The Admissions Representative serves as the coordination point for referring facilities, physicians, payors and families by coordinating all aspects of referral/admission ..

... 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..

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 Information Humana Pharmacy Technician Networks Specialist, Remote PA or NJ in Pittsburgh Pennsylvania Description The Provider Contracting Administration Coordinator 2 supports the administration of the contracting function. The Provider Contracting ..

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 ..

... Information Humana Manager, Pharmacy and Medical Trend in Pittsburgh Pennsylvania Description ... drug trends, both pharmacy and medical, as well as the impact ... Humana profitability. Responsibilities Lead our..

Job Location Coraopolis, PA - 0600 - Coraopolis, PA Position Type Part Time Salary Range $17.00 - $18.00 Hourly There's a spot on our team waiting for you! Become a Part-time ..

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 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 ..

Description The Medical Records Retrieval Representative travels to ... within the region and scans medical records into a secure system. ... Humana's Coding staff. Responsibilities The Medical Records Retrieval Representative..

Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Pittsburgh Pennsylvania Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..

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

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

Job Location Pittsburgh Area - Pittsburgh, PA Position Type Part Time Salary Range $15.00 - $17.00 Hourly Let what you love be what you do. Become an On-Call Fitness Specialist and ..