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Division Manager Pharmacy 340B Program','Full-time','Professional Non-Clinical','1','1','80','80','Occasional','Occasional','KENTUCKY-LEXINGTON-SAINT JOSEPH EAST','','!*!Job Summary The Division 340B Program Manager leads, coordinates, and supports the ongoing daily operations of the 340B Program within a CHI Division(s) to ..
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Description The Health Information Management Professional 2 ensures data integrity for claim errors while maintaining ongoing research and special projects. The Health Information Management Professional 2 work assignments are varied and ..
... 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..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements. Functions as the hemodialysis team leader ..
Job Information Humana UM Medical Director - Conviva in Louisville Kentucky Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Job Information Humana Medical Director - Florida Medicaid in Louisville Kentucky Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
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 Medical Director is a leadership position that leverages medical expertise, understanding of the TRICARE business, and managed care to support and lead on both clinical programs as well as ..
PURPOSE AND SCOPE:Knowledgeable, developing intermediate level technician performing normal functions under general supervision. Performs scheduled and unscheduled semi-routine repair, maintenance activities and operational condition of all medical equipment, water systems and ..
Job Information Humana Director, Digital Product Engineering in Louisville Kentucky Description Job Summary The Director, Full Stack Engineering is a critical leadership role in Humana's Digital Channels IT organization with accountability ..
Description The Care Manager, Telephonic Nurse Assistant 3, in a telephonic environment, assess and evaluates beneficiary needs and requirements to achieve and/or maintain an optimal wellness state by guiding beneficiaries and ..
Job Information Humana Medical Director - National Medicare Team in Louisville Kentucky Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..
We have exciting employment opportunities for remote HIM Coding Specialists on our Outsource Coding Team. Position Summary The HIM Coding Specialist will handle medical coding and data entry / abstraction for ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
OverviewnThis position is responsible for successfully managing all components of post-discharge denials as well as payer and RAC audits. Actively involved in CDMP and work closely with Coding Managers on DRG ..
Job Information Humana Manager, Care Management in Louisville Kentucky Description Responsibilities The Care Management Manager has responsibilities for the administration, clinical and operational management and compliance with Defense Health Agency policy, ..
Job Information Humana Medical Director - S. Florida in Louisville Kentucky Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Description The Supervisor for Clinical Intake leads a team of Inbound Customer Service Representatives supporting the Medicaid segment. This group responds to provider calls and outreach and addresses needs which may ..
