Description Were growing - join our award winning culture as we serve members in your area! This is a float position primarily within Waushara County, potential travel up to 2 hours within the service region. The
JOB DESCRIPTION Job Summary Provides senior level support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of contact between the business and contracted providers
Job Title Job Summary Will require to be infield twice a week subject to change Provides support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary
Job Posting Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid Team as a Clinical Auditor. The person filling this role will be an instrumental part of the
A Day in the Life of the Coding Compliance & Education Coordinator Youll be diving into clinical documentation and coding records, performing detailed audits to ensure every code is accurate, complete, and compliant with regulatory standards.
Clinical Auditor Position This position will offer remote work flexibility, but the selected candidate must reside in Nebraska. Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid Team
Human Resources Business Partner The rewards at Healogics are immense, starting with the important work we do to change patients lives. We also understand that meaningful work is hard work, and we are committed to supporting
Remote Prior Authorization Pharmacist Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system