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Description Seeking meaningful work? As a Fraud and Waste Manager at Humana, you will come to work every day with the knowledge that your work matters. The ideal candidate is a ..
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... looking for an experienced medical coding reviewer to handle provider disputes ... should strongly consider the Outpatient Coding Auditor (Surgical Specialty) - Outcomes ... it takes to Succeed Certified..
Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Description The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. Responsibilities Job ..
Description The Software Engineer 2 codes software applications based on business requirements. The Software Engineer 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses ..
Description The Senior DevOps Engineer Enables the automation of software code deployment by eliminating functional silos existing between development and production. The Senior DevOps Engineer work assignments involve moderately complex to ..
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 ..
... medical record documentation and diagnosis coding for services rendered is complete, ... ensure capture of all relevant coding. Identifies the root cause analysis ... change management. Applies clinical and..
... medical record documentation and diagnosis coding for services rendered is complete, ... ensure capture of all relevant coding. Identifies members with high risk ... change management. Applies clinical and..
Description The CyberSecurity Operations Center Engineer 2 develops and executes security controls, defenses and countermeasures to intercept and prevent internal or external attacks or attempts to infiltrate company email, data, e-commerce ..
Job Information Humana Senior Software Engineer/ HGB - Work at Home Nationwide in Newport Rhode Island Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software ..
Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data ..
Description The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
Description Our Red Team Lead is responsible to lead a group a Red Team Operators through the design and execution of Red Team Campaigns and exercises. This lead will work on ..
Description In this role you will be on a team of DevSecOps engineers doing analysis, hunting bugs, driving DevSecOps, cultural transformation and building our internal self-service tooling, while serving as product ..
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 Senior Cloud Security Engineer Responsible for build, deployment and maintenance of the multi-cloud security controls; engineering the security posture and implementation to the cloud based applications and systems. The ..
Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..
Description The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. Responsibilities The ..
Description Humana is looking for a dynamic and energetic leader that is passionate about leading and growing our contact center SRE team. Supporting the core contact center voice technology applications and ..
