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Description The Senior Market Finance Professional collects, analyzes and reports on various market data to connect financial outcomes with ... effectiveness. The Senior Market Finance Professional work assignments involve moderately..
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... Fraud & Waste Investigator - Remote in Louisville Kentucky Description Are ... 100 company with competitive salary, opportunity for growth, great benefits, amazing ... growth, great benefits, amazing 401K..
Description The Clinical Data and Reporting Professional 2 generates ad hoc reports and regular datasets and reporting for clinical leadership decision making. The Clinical Data and Reporting Professional 2 also..
Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to ... ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste,..
... Humana RN, Senior Stars Improvement, Clinical Professional in Louisville Kentucky Description Humana ... a RN, Senior Stars Improvement, Clinical Professional who will be responsible for ... responsible for the..
Job Information Humana Fraud and Waste Investigator - Work At ... enjoy speaking with members, providers, and other industry colleagues? Do you ... you thrive on solving problems and thinking..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... ensure that medical record documentation and diagnosis coding for services rendered ... services rendered is complete, compliant..
... interactive team with broad exposure and scope within Humana. Humana is ... Humana is seeking a positive and proactive individual to contribute to ... performing team that drives innovation..
... with the care, pharmacy benefits, data and resources they need to feel ... a culture guided by diversity and inclusion, talented peers, comprehensive benefits ... inclusion, talented peers, comprehensive..
Description The Clinical Pharmacy Lead for Pharmacy trend ... interactive team with broad exposure and scope within Humana. Humana is ... Humana is seeking a positive and proactive individual to..
... management lead will oversee projecting and tracking of medical trend bender ... with medical strategy value assessments, and support pipeline medical modeling needs. ... We are seeking a positive..
... Information Humana Licensed Behavioral Health Professional - Quality Audit in Louisville ... Licensed Behavioral Health Quality Audit Professional. This position ensures mandatory reporting is completed. Conducts and summarizes compliance..
... to a background/suitability investigationn Designated and/or random drug testing may be ... entry into this job series, and it is something that can't ... (i.e. customer service in a..
Job Information Humana Nurse Auditor 2-Remote/Virtual in US in Lexington Kentucky ... Kentucky Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... ensure that medical record..
... caring for family, friends, finances, and personal life goals. It's about ... members to be happier, healthier, and more productive in their professional and personal lives. We encourage our..
... Manager, Utilization Management Nursing utilizes clinical and leadership skills to support the ... to support the coordination, documentation and communication of home health authorizations. ... leader works within specific..
Description The Data and Reporting Professional II generates ad hoc reports ... II generates ad hoc reports and regular datasets or report information ... for end-users using system tools and..
... Information Humana Senior Process Improvement Professional - Remote OH, IN, KY in Louisville ... Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing ... effectiveness..
... Information Humana Quality Compliance Nurse Professional 2 - Louisville, KY in Louisville ... Description The Quality Compliance Nurse Professional 2 uses quality improvement methodology to ... quality improvement methodology..
Description Humana's Health Quality and Stars organization is seeking a ... is seeking a HEDIS Senior Data Manager to deliver quality and value in a fast-paced, dynamic ... candidate will..
... have exciting employment opportunities for remote HIM Coding Specialists on our ... Specialist will handle medical coding and data entry / abstraction for various ... (Inpatient, Outpatient, Ambulatory, Surgery,..
... Lead solves complex business problems and issues using data from internal and external sources to provide insight ... on problems of diverse scope and complexity to support a wide..
... health care company with deep and multi-faceted physician and provider relationships, the Office of ... domains: (1) seeking/gathering physician/clinician perspectives, (2) collaborating with business leaders to ... physician/clinician voice..