• Program Manager II

    Centene Corporation (Cheyenne, WY)
    …competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose: This Program Manager II will support AZ Complete Health** as ... needs and strategic objectives. The ideal candidate for this Program Manager II role will...operations (emphasis on claims and configuration), with expertise in Medicare and Marketplace programs. They should be skilled in… more
    Centene Corporation (06/11/25)
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  • Process Improvement Specialist

    Humana (Cheyenne, WY)
    …first** The Care and Service Coordination Strategy and Growth Professional II supports the development and execution of Medicaid care/service coordination strategy ... that support a scalable, repeatable implementation model. The Strategy and Growth Professional II plays a key role in reviewing and interpreting the clinical model… more
    Humana (06/12/25)
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  • Coding Auditor Educator

    Highmark Health (Cheyenne, WY)
    …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine...+ Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and… more
    Highmark Health (05/09/25)
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