Provider Contracting Professional 2 Jobs in Riverton

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 The Telephonic Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..

... 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..

... 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..

... Senior Contract Tools, Education, Processes Professional - Remote in Riverton Wyoming ... Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy ... Senior Contract Tools, Education, Processes..

Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Riverton Wyoming Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ..

... TRICARE Operations Manual (TOM), TRICARE Provider Manual (TPM) or any other ... Mental Health (MH)/Behavioral Health (BH) Professional to include: Licensed Clinical Social ... Clinical Social Worker (LCSW), Licensed..

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 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 ..

Job Information Humana Director, Informatics in Riverton Wyoming Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..

Description Responsibilities The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism ..

Job Information Humana Senior Provider Contracting Professional in Riverton Wyoming Description The ... Riverton Wyoming Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... executes physician, hospital,..

Description The Provider Contracting Professional 2 initiates, negotiates, and executes physician, ... executes physician, hospital, and/or other provider contracts and agreements. The Provider Contracting Professional 2 work assignments are varied..

Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Riverton Wyoming Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..

Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Riverton Wyoming Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the ..

Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..

Job Information Humana CMO - Regional VP, Health Services - Intermountain Region in Riverton Wyoming Description The Regional VP, Health Services relies on medical background and reviews health claims. The Regional ..

Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..

Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..

... organization is looking for Senior Provider Installation Professional to join the team working ... in the US. The Senior Provider Installation Professional administers the installation of assigned ... administers..

Description Responsibilities If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver ..

Description The Senior Market Development Professional provides support to assigned health ... support. The Senior Market Development Professional work assignments involve moderately complex ... Responsibilities The Senior Market Development Professional..

Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional ..