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... 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 Troy Michigan Description ... Michigan Description The Care Team Medical Director is responsible for improving ... ground up. The Care Team Medical..
Job Information Humana FP&A Lead, Medicaid Market in Troy Michigan Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
... 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..
Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Troy Michigan Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and scope ..
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..
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..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Troy Michigan Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..
... 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..
... 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..
... 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 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 ..
... 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 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..
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 ..
... 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..
... Information Humana Manager, Pharmacy and Medical Trend in Troy Michigan 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 Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Troy Michigan Description Humana is looking for an experienced Healthcare Investigator to join its industry ..
... Certified Diabetes Care and Education Specialist-Remote-US in Troy Michigan Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
