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Contract Specialist / Procurement Analyst, GS 11-13 Duties: The candidate may support any of the programs and offices across the Agency. Will award, administer, and close-out contracts to support these programs ..
Description The Senior Financial Analytics Professional manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Senior Financial Analytics Professional work assignments involve ..
Description The Medical/Financial Risk Evaluation Professional 2 is responsible for supporting the development, implementation and monitoring of medical/financial risk. The Medical/Financial Risk Evaluation Professional 2 work assignments are varied and frequently ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
Job Information Humana Senior Financial Analyst - Remote in Beckley West Virginia Description The Provider Analytics organization's vision is to improve member healthcare through innovative analytics and actionable insights, which empower ..
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 ..
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 Healthcare Financial Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The East Central Region is seeking a Healthcare ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
Description The Senior Market Finance Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The Northeast Region is seeking a Senior ..
Job Information Humana Informaticist - Remote in Beckley West Virginia Description The Informaticist coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights ..
Description The Market Finance Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The Northeast Region is seeking a Market Finance ..
Job Information Humana Senior Business Intelligence Engineer - Remote in Beckley West Virginia Description The vision of the Retail Customer Segmentation team is to achieve simpler care (through an enhanced member ..
PrimeCare Medical is currently looking for a Registered Nurseu00a0(RN)u00a0to work as theu00a0Health Service Administrator (HSA) in the medical department at the Southern Regional Jail in Beaver, WV.u00a0 In this role the ..
Job Information Humana Claims Review Representative 2 in Beckley West Virginia Description The Claims Review Representative 2 , will be part of the Medical Financial Recovery Overpayment Team which consists of ..
Job Information Humana Value-Based Strategies - CMS Programs Strategy Lead - Remote in Beckley West Virginia Description Value-Based Strategies - CMS Programs Strategy Lead will support Humana through successful participation in ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Beckley West Virginia Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..
Description The Informaticist coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledgeable SMEs. The Informaticist work assignments are varied and ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Beckley West Virginia Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Beckley West Virginia Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Job Information Humana Senior Value-Based Programs Reporting/Data Professional - Louisville, KY or Remote in Beckley West Virginia Description The Senior Value-Based Programs Reporting/Data Professional builds templates, standard documentation, policy and protocol, ..