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Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the ... Naples Florida Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental ... and governmental requirements. The..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Naples Florida Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
Job Information Humana Learning Design Professional 2- Remote in US in Naples Florida Description The Learning Design Professional 2 uses instructional design, cognitive psychology and adult learning theory to determine the ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
Description The Project Manager manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Manager work assignments are varied ..
Description The Lead Systems Engineer is responsible for design, analysis, configuration and maintenance of complex systems software solutions, based on a thorough knowledge of systems engineering and programming concepts and techniques. ..
Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The ..
Job Information Humana Senior Cloud Security Engineer (virtual remote) in Naples Florida Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..
Job Information Humana Learning Facilitation Professional 2- Remote in US in Naples Florida Description The Learning Facilitation Professional 2 conducts or facilitates training courses for organization employees or external audiences. The ..
Job Information Humana Compliance Prof 2/Process and Market Support- Remote in US in Naples Florida Description Do you crave new challenges and solving problems? Are you looking for an opportunity to ..
Description The Cloud Architect 2 leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. The Cloud Architect 2 work assignments are varied and frequently require ..
Job Information Humana Senior Market Development Professional in Naples Florida Description The Senior Behavioral Health Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicaid product ..
Description The Grievances & Appeals Professional 2 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
Job Information Humana Market Development Advisor in Naples Florida Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, ..
Description Introduction The 3rd Party Segment Lead will execute and lead a team of risk professionals in conducting cyber and regulatory-driven assessments and oversight of key 3rd Parties across designated business ..
Job Information Humana Senior Cloud Security Engineer in Naples Florida Description The Senior Cloud Security Engineer-AWS Responsible for build, deployment and maintenance of the multi-cloud security controls; engineering the security posture ..
Job Information Humana Quality Improvement Coordinator in Naples Florida Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The ..