Dir, Medicaid Encounters Processing Job (, , US)
Description:Coventry's Medicaid Division is seeking an experienced, Director level candidate to lead a centralized unit which manages the enounter process between Coventry's various state Medicaid...
View ArticleHEDIS Medical Record Review Consultant Job (St. Louis, MO, US)
Description:GENERAL SUMMARYResponsible for performing in a consultative style and developing prospectively,a conceptual framework for coaching Coventry health plans in the management of HEDIS medical...
View ArticleMedical Director-FLEXIBLE LOCATION Job (Tampa, FL, US)
Description:GENERAL SUMMARYOversees the medical management programs for assigned business sector. Provides medical leadership to ensure excellent quality of care and service is provided to our...
View ArticleHEDIS On Call Nurse Job (Louisville, KY, US)
Description: CoventryCares of Kentucky, a Coventry Health Care Plan, is currently seeking temporary part-time and temporary full-time experienced nurses across Kentucky to perform medical record...
View ArticleProvider Contracting Spec Job (Louisville, KY, US)
Description:GENERAL SUMMARYAssists with managed care contracting with physicians and ancillary providers for all contracts pertaining to fully insured, Health Plan, PPO, corporate accounts, lease...
View ArticleSIU Investigator Job (Louisville, KY, US)
Description: SIU Investigator Coventry Health Care, a $12.2 billion Fortune 500 organization, is a national managed health care company with nearly 5.1 million members in all 50 states. At Coventry...
View ArticleMgr, Fraud & Abuse Job (Harrisburg, PA, US)
Description:Coventry Health Care, a $12.2 billion Fortune 500 organization, is a national managed health care company with nearly 5.1 million members in all 50 states. At Coventry Health Care, we are...
View ArticleDirector of Network Development Job (Louisville, KY, US)
Description:Coventry Health Care, a $12.2 billion Fortune 500 organization, is a national managed health care company with nearly 5.1 million members. At Coventry Health Care, we are driven to ensure...
View ArticleAdmin Spec 2 Job (Louisville, KY, US)
Description: It’s a great time to put the strength of Coventry Health Care behind your career! Coventry Health Care is a national managed health care company based in Bethesda, Maryland providing a...
View ArticleConcurrent Review Coord Job (Louisville, KY, US)
Description:GENERAL SUMMARYReviews all inpatient admissions to assure appropriate level of care. Coordinates with physicians, staff, and facilities regarding patient care. In conjunction with and under...
View ArticleSr Operations Liaison Job (Louisville, KY, US)
Description:GENERAL SUMMARYPrior Medical Exeperience Preferred! Hospital Billing experience a plus!Leads the monitoring and evaluation efforts of claims payment according to provider contracts and/or...
View ArticleVP, Network Mgmt Job (Louisville, KY, US)
Description:GENERAL SUMMARYResponsible for the development, negotiation, implementation, management, and financial impact determination of all contracts pertaining to fully insured, Health Plan, PPO,...
View ArticleMgr, Provider Relations Job (Louisville, KY, US)
Description:GENERAL SUMMARYManages the activities of the Provider Relations Department. Overseas the maintenance of working relationships with the existing network, and assists in the recruitment of...
View ArticleClinical Health Coord - KY Job (Louisville, KY, US)
Description:GENERAL SUMMARYMakes outreach calls to identified members to provide proactive information to educate and encourage them to participate in specialized programs to better manage their...
View ArticleMgr, Health Services, UM/Concurrent Review Job (Louisville, KY, US)
Description:GENERAL SUMMARYResponsible for the daily management in the health service area of Concurrent Review. Serves in an active managerial role to assist in the development, implementation, and...
View ArticleConcurrent Review Rep Job (Louisville, KY, US)
Description:GENERAL SUMMARYUnder the direct supervision of clinical staff, performs assigned duties including telephonic or fax screening of requests for authorization of services, contacting provider...
View ArticleOutreach Coord, HEDIS Job (Detroit, MI, US)
Description:GENERAL SUMMARYFacilitates provider and member outreach to ensure member receipt of important clinical services to improvement member health outcomes. Provides support for Healthcare...
View ArticleComplex Case Mgr Job (Louisville, KY, US)
Description:NEW OPPORTUNITY - COMPLEX CASE MANAGERCo-Morbid Case Management (CMCM) is an Enhanced Care Management Program focusing on high risk, co-morbid aged; blind and disabled Medicaid members...
View ArticleComplex Case Mgr, NICU, Peds, Behavioral or Transplant experience a +! Job...
Description:GENERAL SUMMARYNICU, Pediatric, Behavioral or Transplant Experience a Plus!Functions as the central coordinator of care for members identified as having chronic disease processes or for...
View ArticleBehavioral Health Case Mgr Job (Louisville, KY, US)
Description:GENERAL SUMMARYProvides case management services for the behavioral health unit through evaluation and review of inpatient and outpatient behavioral health treatments for medical necessity,...
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