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Director of Med/Surg - Oncology','01307-7562','United States-Florida-Fort Walton Beach-Fort Walton Beach Medical Center','Full-time','Directors & Managers','!*! Fort Walton Beach Medical Center is a 257-bed top-performing quality hospital with over 200 of the most ..
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Credentialing Specialist Review','25400-142702','United States-Florida-Orange Park-CPC - Orange Park','Full-time','Credentialing','!*!Responsible for credentialing new and established health care providers, and maintenance of information to include primary source verification, follow up, data collection, data entry, ..
Director of Cardiac Cath Lab','00355-7885','United States-Florida-Tallahassee-Capital Regional Medical Center','Full-time','Directors & Managers','!*!Capital Regional Medical Center (CRMC) is a fully-accredited healthcare facility with more than 1,100 employees and 500 physicians. A 266-bed, acute-care ..
Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Physician serves as a health-care professional and capable of handling a variety of health-related problems. The Physician work assignments involve moderately complex to complex issues where the analysis of ..
Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
Description The Risk Adjustment Representative 3 conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other ..
Job Information Humana Actuary, Risk and Compliance in Tampa Florida Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare Advantage ..
Description Assignment Capsule: Be a part of a team that's dedicated to improving the health and well-being of our members, our associates, and the communities we serve. This position offers an ..
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 ..
Description The Compliance (UM) Lead conducts and summarizes compliance audits. The Compliance (UM) Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities The Compliance (UM) ..
... KEY ACCOUNTABILITIES Process Improvement and Project Management Contributes to the identification ... projects, key insights, and ensure project milestones and deliverables are implemented ... manner Develops and manages detailed..
... market. Responsibilities The Clinical Documentation Specialist (CDS) follows state and federal ... medical records. The Clinical Documentation Specialist conducts medication reviews of charts ... clinical diagnoses. The Clinical Documentation..
