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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 ..
Job Information Humana Senior Financial Analyst - Remote in Lima Ohio Description The Provider Analytics organization's vision is to improve member healthcare through innovative analytics and actionable insights, which empower members, ..
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 ..
Job Information Humana Claims Review Representative 2 in Lima Ohio Description The Claims Review Representative 2 , will be part of the Medical Financial Recovery Overpayment Team which consists of making ..
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 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 The Provider Engagement Professional 2 in Ohio develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within ..
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 ..
Job Information Humana Senior Business Intelligence Engineer - Remote in Lima Ohio Description The vision of the Retail Customer Segmentation team is to achieve simpler care (through an enhanced member experience), ..
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 ..
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 ..
Job Information Humana Provider Contracting Professional 2 - OH Medicaid in Lima Ohio Description The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health provider contracts under the Ohio Medicaid ..
Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to ..
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 ..
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 Provider Contracting Professional - OH Medicaid in Lima Ohio Description The Senior Provider Contracting Professional initiates, negotiates, and executes behavioral health physician, hospital, and/or other provider contracts ..
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 ..
Description The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health provider contracts under the Ohio Medicaid program. The Provider Contracting Professional 2 communicates contract terms, payment structures, and reimbursement ..
Job Information Humana Senior Provider Engagement Professional in Lima Ohio Description Humana Healthy Horizons Plan in Ohio seeks highly motivated Engagement Professionals to provide end to end provider experience as a ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Lima Ohio Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
Job Information Humana Senior Value-Based Programs Reporting/Data Professional - Louisville, KY or Remote in Lima Ohio Description The Senior Value-Based Programs Reporting/Data Professional builds templates, standard documentation, policy and protocol, and ..
