Benefit Compliance Specialist Jobs in Ridgeland

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 ..

Job Information Humana Physician - CenterWell - Atlanta, GA - College Park in Ridgeland Mississippi Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a ..

Job Information Humana Physician - CenterWell - Atlanta, GA in Ridgeland Mississippi Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical ..

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 ..

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

WalgreensnJob DescriptionHERO Program SummaryThe Walgreens HERO Program keeps our nation's heroes in mind - with an opportunity for veterans to transition their leadership experience into the civilian world. Through this program, ..

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 ..

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 ..

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

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

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

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

**Job Description Summary** The Batesville Site Human Resources Leader will be responsible for providing the full scope of HR advice, guidance, and support across the site population (over 200 employees across ..

Description The UM Compliance Letters Specialist/Coordinator 2 contributes to administration of ... of utilization management in the Compliance department. The UM Administration Coordinator ... Humana. Join Us! The UM Compliance..

Job Information Humana Director, Campaign Management & Personalization in Ridgeland Mississippi Description Humana is seeking a Director, Campaign Management & Personalization who will be responsible for the leadership and day-to-day management ..

Job ID 210006P0Available Openings 1DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient’s future—as well as your own. Connect with ..

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 ..

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 ..

Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..

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..

... delivery of patient care in compliance with standards outlined in the ... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... and initiate as appropriate. Ensure..

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

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 ..