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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 ..
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Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Brentwood Tennessee Description Humana is looking for an experienced Healthcare Investigator to join its industry ..
Description Risk Adjustment Coders are responsible for reviewing medical records, completing multiple audits, and special projects. Associates in this role work collaboratively with other departments. Responsibilities The Risk Adjustment Coder ensures ..
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, ..
Job Information Humana Senior Integration Specialist - Cloud in Brentwood Tennessee Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating functional silos existing between development ..
... final outcome when discrepancies in coding interpretation are identified Provide support ... and monitoring of Humana's medical coding communication efforts to promote accurate ... documentation Recommend and review medical..
Job Information Humana LEAD QUALITY TECHNOLOGY LEADER - IT Security (Work at Home/Fully Remote) in Brentwood Tennessee Description If you run toward knowledge and problem-solving, join us! The Quality Engineering team ..
Job Information Humana UM Medical Director - Conviva in Brentwood Tennessee Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Brentwood Tennessee Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..
Job Information Humana Physician - CenterWell - Atlanta, GA - College Park in Brentwood Tennessee Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a ..
Job Information Humana Physician - CenterWell - Atlanta, GA in Brentwood Tennessee Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical ..