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$54.3k - $145.86k
...**Position Summary** The Health Service Manager -Policy Writer for Medicaid is a key member of the Medical Policy & Program Solutions Team. The Medicaid Medical Coding Policy Writer is an individual contributor and will research and develop moderate to complex coding...SuggestedHourly payFull timeTemporary workLocal areaRemote workFlexible hours$231.9k
...You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility...SuggestedFull timePart timeWork at officeImmediate startRemote workFlexible hoursWeekend workCentene Corporation
Tallahassee, FL3 days ago- Overview: Become an RN Clinical Supervisor with Georgia Hospice Care We are looking for impeccable leaders to join our team who are committed to creating meaningful patient experiences. As a clinical supervisor at Georgia Hospice Care you'll manage the coordination...SuggestedTemporary workImmediate startRelocation package
Georgia Hospice Care
Tallahassee, FL21 hours ago - ...that supports the health, life, career and retirement of our colleagues. The available plans and programs include: ~ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health...SuggestedHourly payFull timeTemporary workPart timeFlexible hoursShift work
HCA Florida Capital Hospital
Tallahassee, FL3 days ago - ...workflow Assist with administrative tasks, reports, and special projects as needed Qualifications Previous experience in a medical, chiropractic, or wellness office preferred Strong customer service and communication skills Proficient in scheduling...SuggestedFull timeWork at office
TLC ChiroMed
Tallahassee, FL26 days ago $174.07k - $374.92k
...Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The... ...reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise, using multiple computer based applications...SuggestedHourly payFull timeTemporary workLocal areaRemote workWork from homeFlexible hours$35 - $36 per hour
...and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the members overall wellness. Case Management Coordinator will effectively manage a caseload that...SuggestedHourly payTemporary workWork at officeLocal areaRemote workWork from homeMonday to Friday$30.29 - $60.63 per hour
...preceding factors as well as internal peer equity. Oracle US offers a comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life insurance...SuggestedHourly payTemporary workWork experience placementFlexible hours$116.5k - $251.6k
...preceding factors as well as internal peer equity. Oracle US offers a comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life insurance...SuggestedTemporary workFlexible hours- ...that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage...SuggestedFull timeTemporary workPart timeWork experience placementFlexible hours
- ...that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage...SuggestedFull timeTemporary workPart timeFlexible hours
$79.1k - $158.2k
...preceding factors as well as internal peer equity. Oracle US offers a comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life insurance...SuggestedTemporary workFlexible hours$79.1k - $158.2k
...preceding factors as well as internal peer equity. Oracle US offers a comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life...SuggestedTemporary workVisa sponsorshipFlexible hours$79.1k - $158.2k
...preceding factors as well as internal peer equity. Oracle US offers a comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life insurance...SuggestedTemporary workWork experience placementLocal areaRemote workFlexible hours$54.3k - $145.86k
...full time role and is ideal for a data professional with strong coding skills in SQL and Python who can transform complex healthcare... ...to non-technical audiences. + 2+ years experience interpreting medical claim data + Advanced experience in SQL & Python coding sourcing...SuggestedHourly payFull timeTemporary workWork experience placementLocal areaFlexible hours$79.1k - $158.2k
...preceding factors as well as internal peer equity. Oracle US offers a comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life insurance...Temporary workWork experience placementLocal areaRemote workFlexible hours$26.01 - $74.78 per hour
...utilization/benefit management program. + Conduct clinical reviews for adult inpatient behavioral health cases, applying established medical necessity criteria to ensure appropriate levels of care and treatment planning. + Applies critical thinking and knowledge in...Hourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours$223.8k - $313.1k
...part of our caring community and help us put health first The Medical Director, Primary Care relies on medical background and reviews... ...skills. An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes...Full timeTemporary workApprenticeshipRemote workFlexible hours$223.8k - $313.1k
...part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims... ...duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes...Full timeTemporary workApprenticeshipRemote work$246.1k - $344.2k
**Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayWeekend work$223.8k - $313.1k
...part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims... ...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals...Full timeTemporary workApprenticeshipRemote work$170k
...The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness... ...legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of...For contractorsPrivate practiceWork at officeLocal area$223.8k - $313.1k
**Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex...Full timeTemporary workApprenticeshipRemote work$223.8k - $313.1k
...part of our caring community and help us put health first** Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, level...Full timeTemporary workApprenticeshipRemote workMonday to Friday$223.8k - $313.1k
...part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience,... ...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals...Full timeTemporary workApprenticeshipRemote work$223.8k - $313.1k
**Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical...Full timeTemporary workApprenticeshipRemote work$206.2k - $324.6k
...Job Description The Precision Medicine - Medical Affairs Director - Health Systems Oncology (PM MAD-HSO) develops ongoing professional relationships with healthcare decision makers across Reference Laboratories, managed markets organizations, Integrated Delivery Networks...For contractorsWork at officeLocal areaRemote workRelocationVisa sponsorshipFlexible hoursShift work3 days per week$215.26k - $352.24k
**Clinical Operations Medical Director** **Carelon MBM** **Virtual:** This role enables associates to work virtually full-time, with... ...policies when making medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical...Full timeTemporary workPart timeWork experience placementLocal area1 day per week- **Medical Director** _Please note that per our policy this role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life...Full timeTemporary workWork at officeLocal areaImmediate start1 day per week
$80.9k - $115.5k
...manufacturers to rethink the reach and impact of their products. The Supervisor, Clinical Operations provides management and clinical... ...benefits and programs to support health and well-being. ~ Medical, dental and vision coverage ~ Paid time off plan ~ Health...Full timeTemporary workWork at officeLocal areaImmediate startRemote workMonday to FridayFlexible hoursShift work
