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Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative medicines focused on helping millions of patients around the world in disease areas ..
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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 Payment Integrity Professional 2 uses technology and data mining, ... financial recovery. The Payment Integrity Professional 2 work assignments are varied and ... medical coding reviewer to handle..
Description Responsibilities This position will maintain the Humana Military ACD website Autism Center of Excellence (CoE); ensuring educational information is current and relevant to training needs in addition to analyzing and ..
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
... Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, ... Care Manager, Telephonic Behavioral Health 2 work assignments are varied and ... Care Manager, Telephonic Behavioral Health..
... to improve the beneficiary or provider experience. Assist with new referrals ... to care plan to ensure provider selection and appointment availability; This ... appointment availability; This includes discussing..
Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical ... beneficiaries' session notes to the provider's claims to determine whether all ... local team as needed for provider..
... The Care Manager, Telephonic Nurse 2 , in a telephonic environment, ... The Care Manager, Telephonic Nurse 2 work assignments are varied and ... RN Care Manager, Telephonic Nurse..
Job Information Humana Provider Contracting Professional - Behavioral Health in San ... Juan Puerto Rico Description The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral ... health physician, hospital,..
Description Responsibilities The Autism Care Demonstration (ACD) Senior Learning Design Professional analyzes content, organizes content, designs solutions, and writes storyboards, scripts, performance support, newsletters and notification letters. Analyzes learning needs and ..
Description The Provider Contracting Professional 2 initiates, negotiates, and executes dental ... initiates, negotiates, and executes dental provider contracts and agreements for an ... that provides health insurance. The Provider..
Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term ... the health plan. The Senior Provider Engagement, Clinical Professional work assignments involve moderately complex ... variable factors...
Description The Senior Value-Based Financial Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Programs Professional works on problems ..