Benefit Compliance Specialist Jobs in Springfield

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 ..

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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 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 ..

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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 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..

DutiesIncumbent assists Registered Nurses (RN) and Licensed Practical Nurses (LPN) in performing patient care activities for psychiatric and long-term medical/surgical patients. Assists physicians and nurses with exams or treatments, including turning ..

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

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

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

DutiesAssures high quality respiratory care is provided at the Medical Center for Federal Prisoners under the direct supervision of the Hospital Systems Administrator (HSA), with a physician reviewer/advisor. Consults with physicians ..

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

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

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

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 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 Springfield Missouri Description Humana is looking for an experienced Healthcare Investigator to join its industry ..

Requisition Number: 95580  JOB DESCRIPTION Cintas is seeking a Warehouse Specialist. Responsibilities include receiving and processing incoming and outgoing orders; maintaining the organization of the warehouse; tracking orders and backorders; and ..

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