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Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..
Description The Supervisor, Consultative Pharmacy Technicians certified Pharmacy Technician who acts as an intake for all calls from patients, pharmacies and providers. The Supervisor, Consultative Pharmacy Technicians works within thorough, prescribed ..
Description The Supervisor, Health Information Management ensures data ... integrity for claims errors. The Supervisor, Health Information Management works within ... procedures; uses independent judgment requiring analysis of variable factors..
Job Information Humana Care Management Supervisor (Prescription Assistance Program)- CenterWell-Remote in ... in Louisville Kentucky Description The Supervisor, Care Management leads teams of ... and wellbeing of members. The Supervisor,..
Description The Supervisor, Care Management Support contributes to ... and wellbeing of members. The Supervisor, Care Management Support works within ... procedures; uses independent judgment requiring analysis of variable factors..
... supervision, uses independent judgment requiring analysis of variable factors and determining ... requested by his or her supervisor, consistent with the purpose of ... Qualifications 3 plus years of..
Louisville Call Mara at (888) 796-6556 for more information! Field Services Engineer / Maintenance - Imaging Engineer About Us At Alliance Radiology, our team members focus on transforming the patient experience ..
... a long-term care facility The Supervisor, Care Management Support will lead ... and wellbeing of members. The Supervisor, Care Management Support works within ... procedures; uses independent judgment requiring..
Job ID 21000G6HAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
... Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... in Louisville Kentucky Description The Supervisor, Pre-Authorization Nursing will be managing ... to the appropriate stakeholder. The..
Job Information Humana Supervisor, Care Management Support in Louisville ... in Louisville Kentucky Description The Supervisor, Care Management Support contributes to ... and wellbeing of members. The Supervisor, Care Management..
Description The Medical Coding Auditor Supervisor handles a combination of tasks, ... records. The Medical Coding Auditor Supervisor's work assignments are varied and ... auditor, the Medical Coding Auditor Supervisor..
... requested by his or her supervisor, consistent with the purpose of ... Public Health Administration, Public Policy, Healthcare Economics, Business or related field ... expertise in population health, data..
Description The Operations Supervisor, Inbound Contacts represents the company ... digital, or written inquiries. The Supervisor, Inbound Contacts works within thorough, ... procedures; uses independent judgment requiring analysis of variable..
OverviewnThe System Healthcare Analyst, Controlled Substance Accountability: Audit ... investigation activities plus aggregation and analysis of metrics data for the ... duties provided by the System Supervisor for Controlled Substance..
Description The Supervisor, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The Supervisor, Compliance Nursing works within thorough, ... procedures; uses independent judgment requiring analysis of variable factors..
... clean, useable data for further analysis, ensuring CDRL requirements are met ... and process-level measurements. Perform metrics analysis to ensure all case referral ... requested by his or her..
Description The Director HEDIS Production and Quality Analytics takes the lead in driving success for key quality measures development and analytic reporting functions that support Humana Military clinical quality strategies, including ..
Job ID 21000HYSAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
