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... Director, Pharmacy Clinical Formulary and Medical Strategies requires a broad understanding ... execute on the formulary and medical drug strategies. Responsibilities The Director, ... Director, Pharmacy Clinical Formulary and..
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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..
... review team is seeking a Medical Coding Auditor with a special ... review information provided in the medical records they must understand what each ... it should represented in..
... Information Humana Manager, Pharmacy and Medical Trend in Colorado Springs Colorado ... drug trends, both pharmacy and medical, as well as the impact ... Humana profitability. Responsibilities Lead our..
... Evaluate the element of the medical record for diagnosis code selection ... Query providers to obtain additional medical record documentation or to clarify ... matrix environment of coding educators,..
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 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...
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..
... 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 Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Colorado Springs Colorado Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special ..
... brand for a primary care medical group practice with centers open ... Coach Nurse, MA, Behavioral health specialist, quality based coder, referral coordinator ... of care. Follows level of..
Job Information Humana UM Medical Director - Conviva in Colorado ... Colorado Springs Colorado Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
... brand for a primary care medical group practice with centers open ... of care. Follows level of medical care and quality for patients ... hospital and SNF coordination, durable..
Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..
... 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 activities..
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 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 ..
... brand for a primary care medical group practice with centers open ... the Medicare population Proficient with medical terminology Proficient with Microsoft Office ... Referral experience Experience with Electronic..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Colorado Springs Colorado Description Humana is looking for an experienced Healthcare Investigator to join its ..
Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Colorado Springs Colorado Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review ..
