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... & Appeals Professional manages enrollee and provider disputes arising under Humana's ... State Fair Hearings, provider complaints, and claims-related disputes (the Grievance System.) ... timely, complete responses to members..
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... to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization ... 2 work assignments are varied and frequently require interpretation and independent determination..
... non-clinical support to the assessment and evaluation of member' needs and requirements to achieve or maintain ... wellness by guiding member/families toward and facilitating interaction with appropriate resources .....
Mercy Clinic Oncology and Hematology Advanced Practitioner Opportunity in ... 9 Physicians, 1 Advanced Practitioner, and an engaged support staff focused ... patient care. Mercy Clinic Oncology and Hematology specializes..
We are seeking progressive and entrepreneurial Advanced Practitioners (Physician Assistant/Nurse ... Assistant/Nurse Practitioner) who have adult and pediatric experience to join our team. Mercy ... to join our team. Mercy..
... Our mission is to protect and promote health, prevent disease and injury, and cultivate conditions by which Oklahomans ... thrive. We value respect, collaboration, and service. OSDH is seeking..
... ministry through our compassionate care and exceptional service. At Mercy, we ... the most of your skills and talents, but also your heart. ... also your heart. Join us..
... access to care, lowering costs and improving the quality of care. ... helping them manage their chronic and specialty conditions. Because we're present ... in so many moments, big..
... Our mission is to protect and promote health, prevent disease and injury, and cultivate conditions by which Oklahomans ... thrive. We value respect, collaboration, and service. Region 9 has..
... Ultrasound (CAS) will deliver clinical and operational expertise by providing excellent ... expertise by providing excellent education and training support within a specific ... experts will facilitate evidence-based practice..
... value to the Health Plan, and its beneficiaries enrolled in Risk ... Risk Adjusted government programs (MA and ACA), using skills including but ... Coding, medical coding, clinical terminology..
... 9 Physicians, 3 Physician Assistants, and an engaged support staff focused ... offer a variety of services and a team-based model of care ... is unique among Oklahoma hospitals..
We are seeking progressive and entrepreneurial Physicians who have adult ... entrepreneurial Physicians who have adult and pediatric experience to join our team. Mercy ... to join our team. Mercy..
... , part of the Optum and UnitedHealth Group family of businesses. ... ill patients wherever they reside and whenever they need it. We ... well invest in your personal..
We are seeking progressive and entrepreneurial Advanced Practitioners (Physician Assistant/Nurse ... Assistant/Nurse Practitioner) who have adult and pediatric experience to join our team. Full-Time, ... Part-Time, PerDiem Opportunities Available Mercy..
... were simplifying the health care experience, creating healthier communities and removing barriers to quality care. ... making it more responsive, affordable and equitable. Ready to make a ... make..
... to increasing access, lowering costs and improving quality of care. Millions ... prescriptions to helping manage chronic and specialty conditions. As a Staff ... our purpose, modeling our values,..