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Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in Ridgeland Mississippi Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; applies ..
Description The Cyber Security Metrics Lead will drive the effort to build a comprehensive and sustainable cyber security metrics and reporting program based on a defined strategy. They will do this ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description Humana is seeking a Lead Cloud Solutions Engineer to join our Fortune #40, Best Places to Work company and help us make a different as a help our members achieve ..
Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..
Description Humana is continuing to grow nationwide! We have 28 new Bilingual Medicaid Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida Medicaid Members ..
Description Humana's technology environment has pivoted from a centralized model over the last several years to a more federated model. This trend will continue and accelerate to the point where Humana's ..
Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in ..
Description Open to US remote Threat Management and Response supports Humana's value proposition by providing strategic guidance and support for Enterprise Information Protection (EIP), IT and business clients. As a Senior ..
Job Information Humana Scrum Master - Senior in Ridgeland Mississippi Description It's an exciting time in Humana's IT Pharmacy division. If you are passionate about Agile methodology, please apply. The Senior ..
Job Information Humana Media Planning Professional in Ridgeland Mississippi Description Humana is a Fortune 50 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a ..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
Job Information Humana Senior Copy Writer in Ridgeland Mississippi Description Humana's The Hive is looking for a Senior Copy Writer to join the team! The Hive is Humana's in-house agency, a ..
Description Humana is seeking a Physician Strategy Sr. Professional to join our growing team. The Physician Strategy professional will be responsible for setting and implementing strategy for internal and external physician ..
We are Aaron’s - an industry leader in the sales and lease-to-own retail industry known for quality brand names and superior customer service. We provide our team members the opportunity to ..
Job Information Humana Sr. DevOps Cloud Engineer in Ridgeland Mississippi Description Do you thrive on working on leading edge technology such as AKS and Kubernetes? Do you embrace the DevOps workstyle ..
Description Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. ..
Description The Subrogation Professional II identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..
Job Information Humana : Director, HR Business Partner - CenterWell Primary Care Organization (Florida Markets) in Ridgeland Mississippi Description CenterWell™ represents our payer-agnostic healthcare services for senior primary care, home health ..