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Job Information Humana Clinical Recruiter 2 - VSP in San ... Juan Puerto Rico Description The Clinical Recruiter 2 interviews prospective employees for ... to professional level roles. The Clinical..
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Description The Clinical Recruiter recruits and interviews prospective employees ... Organization. Humana is seeking a recruiter who is a self-starter, able ... that support each market. The Clinical Recruiter assignments..
Job Information Humana Senior Clinical Recruiter in San Juan Puerto Rico ... Puerto Rico Description The Senior Clinical Recruiter recruits qualified applicants for staff ... determines marketing approach. The Senior..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in San Juan Puerto Rico Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading ..
... Information Humana Senior Medical/Financial Risk Clinical Professional in San Juan Puerto ... Description The Senior Medical/Financial Risk Clinical Professional is responsible for supporting ... risk. The Senior Medical/Financial Risk..
Description The Healthcare Financial Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The East Central Region is seeking a Healthcare ..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate ..
Job Information Humana Manager, Fraud and Waste-Remote US in San Juan Puerto Rico Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud ..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in San Juan Puerto Rico Description Humana is looking for an experienced Healthcare Investigator to join ..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in San Juan Puerto Rico Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, ..
... prepare the Behavioral Health( BH) Clinical Team with the tools necessary ... authorizations, and referrals not requiring clinical review Appropriately route cases needing ... review Appropriately route cases needing..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the Florida Medicaid team. Responsibilities The Intern - Care Manager, ..
... The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... you love auditing and investigating clinical/coding information, researching medical materials and ... a production based environment of..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in San Juan Puerto Rico Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
Job Information Humana Medical Coding Coordinator 3- Remote USA in San Juan Puerto Rico Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in San Juan Puerto Rico Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in San Juan Puerto Rico Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews ..
Description The Medical Coding Coordinator 2 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..