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Found 54 Not Specified jobs
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Hospital Bill Audit Nurse I
GENERAL DESCRIPTION: The Hospital Bill Audit Nurse conducts hospital bill charge audits by reviewing medical records to verify that services were pro
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CareIQ Service Coordinator I
JOB SUMMARY: The CareIQ Service Coordinator provides administrative customer service and file management assistance to claimants, providers, claims pr
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Quality Assurance Nurse
CorVel is seeking a Quality Assurance Nurse with experience in worker's compensation to conduct utilization review and case management quality assuran
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Care Coach 1, Transition Coordinator
Become a part of our caring community and help us put health first Why Humana?At Humana, caring is everything. You look after our members and pati
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Associate VP, Public Policy
Become a part of our caring community and help us put health first The Associate Vice President (AVP) of Public Policy role resides in Corporate A
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Fraud and Waste Investigator
Become a part of our caring community and help us put health first Humana Healthy Horizons in Oklahoma is seeking a Fraud and Waste Professional 2
Senior Coding Educator
Become a part of our caring community and help us put health first The Senior Coding Educator identifies opportunities to improve provider documen
Utilization Management - Behavioral Health
Become a part of our caring community and help us put health first *$5000 SIGN-ON BONUS* for new associates! $5000 payable within the first 45 day
Utilization Management Behavioral Health Professional
Become a part of our caring community and help us put health first *$5000 SIGN-ON BONUS* for new associates! $5000 payable within the first 45 day
Medical Cost Program Management Lead
Become a part of our caring community and help us put health first The Medical Cost Program Management Lead role is responsible for the end-to-end
Manager, Care Integration Team- Kentucky and Indiana
Become a part of our caring community and help us put health first The Manager, Care Management leads teams of nurses and behavior health professi
Licensed Clinical Social Worker - LA and MS
Become a part of our caring community and help us put health first The RoleThe Licensed Clinical Social Worker uses a clinical lens
Field Service Coordinator
Become a part of our caring community and help us put health first The Field Service Coordinator (Care Coach 1) assesses and evaluates member's ne
Medicaid Pharmacy Director
Become a part of our caring community and help us put health first The Clinical Pharmacy Lead monitors drug development pipeline, and medical lite
Senior Accreditation Utilization Management Professional
Become a part of our caring community and help us put health first We are seeking a Senior Accreditation Professional who will work in a team envi
Utilization Management Behavioral Health Professional Medicaid
Become a part of our caring community and help us put health first The Utilization Management Behavioral Health Professional 2 utilizes behavioral
Director, Behavioral Health & Addiction and Recovery Treatment Services
Become a part of our caring community and help us put health first Humana Healthy Horizons in Virginia is seeking a Director, Behavioral Health (B
Area Vice President of Home Health Sales
Become a part of our caring community and help us put health first As an Area Vice President of Home Health Sales, you will:Manage, develop and
RN Patient Care Coordinator - TRICARE
Become a part of our caring community and help us put health first The RN Patient Care Coordinator reviews prior authorization requests for approp
Provider Engagement Professional Behavioral Health
Become a part of our caring community and help us put health first Humana Healthy Horizons in Oklahoma is seeking a Provider Engagement Profession