Documentation Specialist Jobs

Provide education on diagnoses, medications,

Provide education on diagnoses, medications, and preventive measures to promote ongoing wellness and reduce risk of r

Onsite Care Coordination Nurse at Humana in Wisconsin, United States. Remote · $71.1K – $97.8K/yr.

Position Summary The Contract Coordinator Analyst plays a critical role in supporting the Medicaid Network management team throughout the provider contracting lifecycle for Aetna Better Health of Illinois. This position works hand in hand with the Network Contracting Manager to…

The role is responsible for assisting in planning, executing, and maintaining civil engineering projects, ensuring compliance with standards and timely completion within budget. This role involves coordinating with stakeholders, maintaining quality and safety, and managing…

Senior UI Designer (World of Tanks Console) at Wargaming in Nicosia.

Senior UI Designer (World of Tanks Console) at Wargaming in Belgrade, Belgrade, Serbia.

Curious Minds. Bold Ideas. Extraordinary Impact . We're transforming financial services through bold innovation and relentless execution. You bring the ideas and drive. We'll build what's next — together. Job Summary Independently sets up and installs technical systems,…

We are looking for a highly organized and efficient Senior Tax Manager with over 5 years of experience, a proven track record of success, and a passion for providing exceptional tax services for our companies around the world. Our ideal candidate should possess excellent…

Role Description Strong stakeholder management and interpersonal skills. Excellent verbal and written communication skills. Good coordination, follow-up, and organizational abilities. Working knowledge of MS Excel, PowerPoint, and Outlook. Basic understanding of project…

Position Summary - Processes prior authorization requests received by phone, fax, or electronically and utilizes various computer resources, existing criteria, and medication guidelines to perform clinical research to support prior authorization reviews. - Proactively completes…

Job Summary The Utilization Management Nurse supports the effective coordination and management of healthcare services by reviewing clinical information, determining medical necessity, facilitating appropriate resource utilization, and ensuring compliance with regulatory and…

Position Summary The RFI Manager within the Payment Integrity Center of Excellence (PI COE) leads the team responsible for managing and responding to official requests for information from regulatory agencies, state departments, law enforcement, and internal stakeholders. The…

Position Summary The Lead Director, UM Center of Excellence (UM COE), Policy & Process Governance is a strategic and operational leader responsible for enterprise governance of the content and resources that guide Utilization Management work. This role ensures UM policies,…

Position Summary Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate,…