Clinical Quality Consultant For The Oncogenetic Program Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve
Medical Director For The Oncogenetic Program Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health
Medical Director For Utilization Management WellMed, part of the Optum family of businesses, is seeking an internal medicine or family medicine physician to join our Utilization Management team. Optum is a clinician-led care organization that is
Business Analyst, Provider Network Molina Healthcare is hiring for a Business Analyst, Provider Network. Highly qualified candidates will have the following experience: Salesforce knowledge, a certification is helpful Managed Care / Healthcare experience in the Provider
Sr. Project Manager Location: Maimi, Florida (Remote) Long Term Contract No. of Positions - 1 Job Description: Highly experienced in traditional PM skills and activities defining, managing and controlling Scope, Schedule, WBS, Deliverables, Budget, Quality, Schedule
Job Title Responsible for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes
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 accurately