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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..
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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...
... Position Summary The HIM Coding Specialist will handle medical coding and data entry / ... based upon documentation in the medical record Correctly assign modifiers to ... contract and..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in San Juan Puerto Rico Description Humana is looking for an experienced Healthcare Investigator to join ..
... 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..
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..
... 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 RN Clinical team is looking for a dynamic Registered Nurse to join the team working remote anywhere in the US or in Louisville, KY! We are looking for someone ..
Job Information Humana Clinical Pharmacy Lead, Remote in San Juan Puerto Rico Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a ..
... of all appropriate information in medical record according to established FMCNA ... Adheres to FMCNA algorithm and medical record policies. Reports on nutrition ... on Dietetic Registration Board Certified..
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 FP&A Lead, Medicaid Market in San Juan Puerto Rico Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South ..
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 San ... Juan Puerto Rico Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
... USV quality standards.Maintains integrity of medical records and other USV administrative and ... other USV administrative and operational records.Complies with all data collection and ... orienting new employees on..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in San Juan Puerto Rico Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading ..
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 ..
