• Medical Director - Medicaid N. Central

    Humana (Indianapolis, IN)
    …possible participation in care management. The clinical scenarios arise from outpatient , inpatient or post-acute care environments. The Medical Director will have ... but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes...which preferably includes some experience in an inpatient and/or outpatient environment and/or related to care of a Medicaid… more
    Humana (10/25/25)
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  • Key Account Manager - Cardiovascular - Long Island

    Amgen (New York, NY)
    …Lipid Clinical, Heart Failure Clinical and Quality Directors (inpatient and outpatient ), hospital finance decision makers within assigned accounts + Partners closely ... in both dyslipidemia and heart failure (eg: inpatient to outpatient management and protocols, readmission programs, Electronic Management systems, performance… more
    Amgen (10/12/25)
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  • Medical Director-Payment Integrity

    Humana (Carson City, NV)
    …scenarios predominantly arise from inpatient or post-acute care environments. A remote possibility exists of doing peer-to-peer discussions with an external ... provider. Some roles include an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, and outpatient services and… more
    Humana (12/11/25)
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  • Software Developer (Hybrid Opportunity)

    VetsEZ (MA)
    We are currently looking for a Software Developer for a 100% remote position on a large federal government project supporting the Department of Veterans Affairs ... Consolidated Mail Outpatient Pharmacy (CMOP) SEM IS initiative. This role will...testing, maintain documentation throughout the SDLC, and follow secure coding standards in a regulated environment. + Support integration… more
    VetsEZ (12/10/25)
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  • Open Rank, Clinical Faculty Appointment (CFA)…

    MD Anderson Cancer Center (Houston, TX)
    …referred to M. D. Anderson Cancer Center. a. Provide physician staffing for the outpatient head and neck surgery clinic and the inpatient head and neck service at ... and neck disease. b. Visually review for proper CPT coding and approve all surgical procedure charge documents within...medicine in the State of Texas Work Location: Hybrid Onsite/ Remote This position has a target base salary of… more
    MD Anderson Cancer Center (12/01/25)
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  • Physician - Interventional Pain

    Ochsner Health (Kenner, LA)
    …pain management and be able to provide interventional and comprehensive care in the outpatient as well as the perioperative setting. As this is an academic program, ... department to provide quality patient care. + Ensure accurate coding of all patient visits. + Comply with policies,...determine whether the position you are interested in is remote or on-site._** _Individuals who reside in and will… more
    Ochsner Health (11/06/25)
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  • Prior Authorization Rep II

    University of Utah Health (Salt Lake City, UT)
    …to our mission. EO/AA_ This position is responsible to secure outpatient accounts by performing insurance verification, obtaining benefit information, calculating ... + Previous experience with insurance and prior authorizations. + ICD/CPT Coding Certification. + Inpatient and day surgery prior authorizations experience. **Working… more
    University of Utah Health (10/30/25)
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  • Scheduler 2

    Trinity Health (Columbus, OH)
    …or project team by applying industry experience & specialized knowledge. + Location: Remote + Specialty: Diagnostic Imaging + Hours of office: Monday - Friday 9:00a ... have)** + Medical terminology required & knowledge of diagnostic & procedural coding + Insurance verification with the ability to explain benefits, secure necessary… more
    Trinity Health (12/14/25)
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  • Authorization Specialist - Patient…

    Aspirus Ironwood Hospital (Wausau, WI)
    …- Friday 8am - 4:30pm or 8:30am - 5:00pm. This position is REMOTE after training. Experience/Qualifications + Knowledge of office procedures is normally acquired ... Medical Clinic experience preferred. + Working and applied knowledge of coding principles, Medicare, Medicaid, and commercial insurance practices highly recommended.… more
    Aspirus Ironwood Hospital (12/13/25)
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  • Billing & Denials Specialist I - Central Billing…

    Aspirus Ironwood Hospital (Wausau, WI)
    …- 4:30pm. After an onsite training period, this position will be remote . Experience/Qualifications + Associate degree in business, accounting, healthcare, or a ... manual when dealing with specific issues. + Basic CPT and ICD10- coding knowledge desired. + Demonstrates professionalism with good verbal and written communication… more
    Aspirus Ironwood Hospital (12/13/25)
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