Benefit Compliance Specialist Jobs

Description The Senior Vendor Management Professional with Humana manages a diverse scope of complex vendor projects in collaboration with all areas of Claims Cost Mgt (CCM) in an effort to reduce ..

Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..

Description The Inbound Contacts Representative 3 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative ..

Job Information Humana Lead Cloud Advocate in Fargo North Dakota Description Humana Cloud Adoption Services team is looking for a Lead Technology Leadership Professional responsible to deliver new technological solutions coordinating ..

... Information Humana Actuary, Risk and Compliance in Fargo North Dakota Description ... within the Senior Products Actuarial Compliance team focused on special Medicare ... special programs, this role supports..

Description The Senior Value-Based Programs Professional supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Programs Professional works on problems ..

Job Information Humana FP&A Lead, Medicaid Market in Fargo North Dakota Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..

Description Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all ..

Job Information Humana Compliance Professional 2 - Medicaid in ... Capsule Be a part of Compliance - Use your business knowledge ... procedures, and programs supporting our compliance initiatives. Humana..

Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Fargo North Dakota Description Humana is looking for an experienced Healthcare Investigator to join its ..

Save job Refer friends Job description Commute time About: Macy’s is proudly America’s Department Store. There’s a reason we’ve been around for 160 years. Customers come to us for fashion, value ..

Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the ..

Description The Data and Reporting Professional 2 generates ad hoc reports and regular datasets or report information for end-users using system tools and databases. The Data and Reporting Professional 2 work ..

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..

Job Information Humana Senior Integration Specialist - Cloud in Fargo North Dakota Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating functional silos existing between ..

Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Fargo North Dakota Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special ..

Description The Lead, IT Compliance assesses the most complex new ... practice frameworks. The Lead, IT Compliance works on problems of diverse ... to substantial. Responsibilities The IT Compliance Lead..

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..

Description The Senior Value-Based Programs Professional supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Programs Professional works on problems ..