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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..
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...
... 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..
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 Medical Records Retrieval Representative travels to provider ... within the region and scans medical records into a secure system. The ... into a secure system. The records are..
Coding Specialist We have exciting employment opportunities ... Position Summary The HIM Coding Specialist will handle medical coding and data entry / ... based upon documentation in the medical record..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... daily work. Responsibilities Job..
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 ..
u003cbu003e Deliver the value and potential of our groundbreaking pipeline! u003c/bu003e u003cbru003eu003cbru003eDo you have expertise as a pharmaceutical sales specialist within Oncology? u003cbru003eu003cbru003eAt u003cbu003e AstraZeneca u003c/bu003e , our vision in Oncology ..
AdvantageCare Rehabilitation is now hiring a Nurse Consultant Clinical Reimbursement Specialist to oversee our facilities in Western PA. This is a home based position, but travel throughout Western, PA and surrounding ..
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 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 ..
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 UM Medical Director - Conviva in Pittsburgh ... in Pittsburgh Pennsylvania Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
Description Job Description Summary The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities..
... 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..
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 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..
We have an immediate opportunity for an Director of Admissions General Summary: The Director of Admissions is responsible for the hospital’s overall admission process and staff. The Director of Admissions is ..
... for patients.. The CRNP provides medical care and treatment for psychiatrically ... activities, interdisciplinary team activities, and medical staff to ensure individualized, patient-centered ... populations. Essential Functions: Obtains and..
