Provider Relations Rep, Work from Home with travel within the Pike, Perry,...
Description:GENERAL SUMMARYResponsible for maintaining working relationships with the existing provider network. Assists providers with policy and procedure interpretation. Maintains accurate and...
View ArticleWork From Home Case Manager - greater Lexington area Job (Lexington, KY, US)
Description:Coventry’s Medicaid Division is seeking an experienced RN Case Manager to join our team in the role of Transitional Care Case Manager. This individual will work collaboratively with members...
View ArticleClinical Health Coord 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 ArticleProvider Relations Rep, Strong Claims knowledge is preferred! Job...
Description:GENERAL SUMMARYResponsible for maintaining working relationships with the existing provider network in the Louisville, KY region. Assists providers with policy and procedure interpretation....
View ArticleBehavioral Health Case Manager 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,...
View ArticleAssoc Accountant Job (Louisville, KY, US)
Description:GENERAL SUMMARYCompiles routine financial information to prepare reports relative to the accounting of reserves, assets, ande xpenditures. Assists with the preparation of income statements...
View ArticleMgr, Referrals Job (Louisville, KY, US)
Description:GENERAL SUMMARYResponsible for the management, coordination and implementation of a broad range of projects and programs in direct support of the Utilization Management team, as well as the...
View ArticleDir, Network Ops Job (Louisville, KY, US)
Description:GENERAL SUMMARYResponsible for provider contracting and/or provider relations functions pertaining to fully insured, Health Plan, PPO, corporate accounts, lease networks and workers’...
View ArticleSr Accountant Job (Louisville, KY, US)
Description:GENERAL SUMMARYMaintains or oversees the maintenance of accounts, records, and financial reports. Compiles and analyzes financial information to prepare reports and make recommendations...
View ArticleMgr, Health Services Job (Louisville, KY, US)
Description:GENERAL SUMMARYResponsible for the daily management in one or more of the various health services areas (Retro Review, Concurrent Review). Serves in an active managerial role to assist in...
View ArticleTraining & Quality Spec Job (St. Louis, MO, US)
Description:GENERAL SUMMARYResponsible for conducting audits of current processes, reports, and procedures to identify process improvements and issue resolutions. Develops and conducts medical...
View ArticleProvider Relations Rep, Work From Home with local travel! Boone, Kenton,...
Description:GENERAL SUMMARYResponsible for maintaining working relationships with the existing provider network. Assists providers with policy and procedure interpretation. Maintains accurate and...
View ArticleSupvr, Provider Relations Job (, KY, US)
Description:GENERAL SUMMARYResponsible for the daily operation and direction of the Provider Relations Department in Kentucky. Supervises employees who maintain working relationships with the existing...
View ArticleQuality Improvement Coord Job (Richmond, VA, US)
Description:Coventry Health Care, Inc., a local leader in the managed care industry, has an opening for a Quality Improvement Coordinator who will be responsible for the research and identification of...
View ArticleProvider Relations Rep Bowling Green / Somerset: Work from Home with Travel...
Description:GENERAL SUMMARYExperience with claims and how they process though the systems is valuable! Responsible for maintaining working relationships with the existing provider network. Assists...
View ArticleProvider Relations Rep, Work from Home with travel within the Pike, Perry,...
Description:GENERAL SUMMARYResponsible for maintaining working relationships with the existing provider network. Assists providers with policy and procedure interpretation. Maintains accurate and...
View ArticleMedical Director Job (Louisville, KY, 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 ArticleSupvr, Complex Case Mgmt Job (Omaha, NE, US)
Description:Coventry Health Care is an organization of people dedicated to serving the health care needs of our community. We foster team involvement, encourage continuing education, and reward...
View ArticleMedical Review Nurse Job (Newark, DE, US)
Description:Coventry Health Care is seeking a Review Nurse in our Newark,DE Service Center. As a strategic member of the Customer Service Operations (CSO) team, the successful candidate will be...
View ArticlePre-Authorization Coord Job (Tampa, FL, US)
Description:GENERAL SUMMARYResponsible for implementing and coordinating all utilization management functions relating to preauthorization of outpatient testing/surgery, and inpatient admissions.A...
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