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Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors. Responsibilities The..
Description The Medical Director actively uses their medical background, experience, and judgement to ... and other sources of expertise. Medical Directors will learn Medicare and ... in their daily work...
Job Information Humana UM Medical Director - Conviva in Anchorage ... in Anchorage Alaska Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
... Certified Diabetes Care and Education Specialist-Remote-US in Anchorage Alaska Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
... per week) to Providence Alaska Medical Center in Anchorage, Alaska.** **We ... Perform bedside testing according to medical center, laboratory and national standards. ... needed without being asked. Completespay..
... Information Humana Manager, Pharmacy and Medical Trend in Anchorage Alaska Description ... drug trends, both pharmacy and medical, as well as the impact ... Humana profitability. Responsibilities Lead our..
Job Information Humana FP&A Lead, Medicaid Market in Anchorage Alaska Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
Job Information Humana Clinical Pharmacy Lead, Remote in Anchorage Alaska Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and ..
Description Humana is seeking an experienced management professional to lead an interactive team with broad exposure and scope within Humana. This position will work and collaborate with leaders across the 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..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... East Coast hours Responsibilities The..
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 ..
Job Information Humana Senior Contract Tools, Education, Processes Professional - Remote in Anchorage Alaska Description The Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and protocol, case studies, ..
... broad understanding of managed care, medical billing and clinical program development ... for Medicare Trend, Formulary and Medical Strategies, Clinical Program Operations and ... Role Desirables Board Certified Pharmacotherapy..
**Providence is calling a CAT Scan Technologist ( Radiology,Day-Shift, 1.0 FTE) to St Elias Specialty Hospital in Anchorage, Alaska. We are a community of caregivers delivering every day on our Mission ..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... East Coast hours. Responsibilities The..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Anchorage Alaska Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..
Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Anchorage Alaska Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical ..
Are you a School Psychologist seeking an experience of a lifetime? Do you enjoy the outdoors, winter sports, a small town community, and an active lifestyle? We are hiring School Psychologists ..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
