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Description The Senior Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Senior Stars Improvement, Clinical Professional work assignments involve moderately ..
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..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Tulsa Oklahoma Description Humana is looking for an experienced Healthcare Investigator to join its industry ..
... Information Humana Manager, Pharmacy and Medical Trend in Tulsa Oklahoma Description ... drug trends, both pharmacy and medical, as well as the impact ... Humana profitability. Responsibilities Lead our..
Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Tulsa Oklahoma Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team ..
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 ..
... 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..
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 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 ..
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 ..
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..
... As a Dietitian with Fresenius Medical Care, you will be a ... that sets us apart.At Fresenius Medical Care, you will truly make ... for patients.Maintains complete and accurate..
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..
Job Information Humana UM Medical Director - Conviva in Tulsa ... in Tulsa Oklahoma Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
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..
... Certified Diabetes Care and Education Specialist-Remote-US in Tulsa Oklahoma Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
Description Risk Adjustment Coders are responsible for reviewing medical records, completing multiple audits, and special projects. Associates in this role work collaboratively with other departments. Responsibilities The Risk Adjustment Coder ensures ..
... The Risk Adjustment Representative 2 (Medical Record Retrieval Rep) performs varied ... within the region and scans medical records into a secure system. The ... into a secure system...
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Tulsa Oklahoma 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 ..
Description The Medical Record Retrieval Specialist (Risk Adjustment Representative) travels to ... within the region and scans medical records into a secure system. The ... into a secure system. The..
