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Description The Associate Director of IT Category Management will lead the team of Category Managers to drive cost savings via a robust 7-step process, oversee negotiations, implement contracts, and drive successful ..
... Citizen Development Governance, Risk and Compliance (GRC) Senior Professional, you will ... you. Responsibilities Description: The IT Compliance Professional works with non-IT user ... courses of action. The IT..
Description The MarketPoint Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional works assignments involve moderately ... well-being Responsibilities The MarketPoint..
Job Information Humana Senior Market Development Professional in Fairmont Minnesota Description The Senior Behavioral Health Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicaid product ..
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 Network Optimization Lead oversees various efforts involving highly complex data analysis and consultation projects/contracts. The Network Optimization Lead works on problems of diverse scope and complexity ranging from moderate ..
Job Information Humana Compliance Prof 2/Process and Market Support- Remote in US in Fairmont Minnesota Description Do you crave new challenges and solving problems? Are you looking for an opportunity to ..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Fairmont ... Fairmont Minnesota Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
Description The Senior Technology Leadership Professional is responsible for executing and delivering on IT business strategies and solutions. Senior Technology Leadership Professional work assignments involve moderately complex to complex issues where ..
Job Information Humana Compliance Lead - Remote in Fairmont ... in Fairmont Minnesota Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of .....
Job Information Humana Storage Administrator- Storage and Backup in Fairmont Minnesota Description At Humana we are committed to helping people live healthy and happy through personalized care. Following the same mantra, ..
Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..
Description The Senior Risk Management Professional identifies, analyzes, and works to mitigate potential sources of risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the ..
Description The Claims Educator is responsible for ensuring prompt and accurate provider claims processing of original claims, resubmissions, and overall adjudication of claims. The Claims Educator manages claims operations that involve ..
Job Information Humana Market Development Advisor in Fairmont Minnesota 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, ..
Job Information Humana Senior Cloud Security Engineer (virtual remote) in Fairmont Minnesota Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..
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 ..
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 Associate Director, Provider Data Interoperability in Fairmont Minnesota Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..
Description The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ..
Job Information Humana Sr. DevOps Cloud Engineer in Fairmont Minnesota Description Do you thrive on working on leading edge technology such as AKS and Kubernetes? Do you embrace the DevOps workstyle ..
Description The Provider Process Team is a process organization residing within the Consumer and Provider Service Organization. Provider Process's mission is to develop, operationalize, and train business processes through thoughtful collaboration ..
Description The Supply Chain Professional 2 reports through Humana's Pharmacy Supply Chain and performs DSCSA (Drug Supply Chain Security Act) compliance related tasks in support of Humana's Pharmacy inventory receiving operations. ..
