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Description The Quality Compliance Professional Committee Consultant maintains / assists, coordinates/leads, monitors, reports on contractually required committees with establishing & maintaining relationships with committee members in the Illinois MMP market, in ..
Description The Senior Technology Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Senior Technology Leadership Professional work assignments involve moderately complex to complex ..
Job Information Humana FP&A Lead, Medicaid Market in Ridgeland Mississippi Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
Description The Supervisor, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Supervisor, Compliance Nursing works within thorough, prescribed ... analytical approach. Responsibilities The Supervisor, Compliance Nursing ensures..
Job Information Humana Supervisor, UM Administration-Remote in Ridgeland Mississippi Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to ..
Job Information Humana IT - Cyber Security Internship 2022 - Corporate in Ridgeland Mississippi Description Humana Inc., is a health and well-being company based out of Louisville, KY. We started out ..
Job Information Humana Lead Technology Leadership Professional (Remote Position) in Ridgeland Mississippi Description The Lead Technology Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. ..
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 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 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 ..
