Medical Jobs in Pittsburgh

Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g. CPT)..

Administration & Customer Service (11) Architecture & Design (1) Biotechnology & Laboratory (1) Consulting (6) Data Science (39) Education & Training (9) Engineering (29) Healthcare (4) Human Resources (13) Information Technology ..

Job Information Humana Pharmacy Technician, Data Entry, Remote PA or TN ONLY in Pittsburgh Pennsylvania Description The Consultative Pharmacy Technician 2 certified Pharmacy Technician who data enters prescriptions and medication information ..

Description The Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..

Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Pittsburgh Pennsylvania Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..

Description . Responsibilities The Process Improvement Lead researches best business practices within and outside the organization to establish benchmark data. This individual collects and analyzes process data to initiate, develop and ..

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..

Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..

Description The Subrogation Professional II identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..

Job Information Humana Subrogation Professional 2 Remote/WAH in USA in Pittsburgh Pennsylvania Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying ..

Job Information Humana Manager, Specialty Pharmacy Sales in Pittsburgh Pennsylvania Description The Manager, Pharmacy Sales - Specialty leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' ..

Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of behavioral health services and/or benefit administration determinations. The Utilization Management Behavioral ..

Job Information Humana Bilingual / Call Center / Customer Service Rep / Remote / Work from Home in Pittsburgh Pennsylvania Description Healthcare isn't just about health anymore. It's about caring for ..

Description The Bilingual Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further ..

Description The Bilingual Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further ..

Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..

... coordination, documentation, and communication of medical services. Enjoy the flexibility of ... Management Behavioral Health Nurse completes medical record reviews from medical records sent from Behavioral Health ... of..

Description The Bilingual Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further ..

Job Information Humana Medical Claims Processing Representative 2 in ... in Pittsburgh Pennsylvania Description The Medical Claims Processing Representative 2 reviews ... Go365 perks for well-being Responsibilities Medical Claims Processing..

Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate ..

Description The Supervisor, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if a grievance, appeal, or further request is warranted ..

Job Information Humana Medicare Sales Field Agent (Bilingual-Spanish) in Pittsburgh Pennsylvania Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the ability ..