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Job Information Humana Senior Process Improvement Professional/HGB (TRICARE Benefits, Claims processing exp.) Remote Nationwide in Riverton Wyoming Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..
... changes that assure compliance with contract obligations. Maintains relationships with government agencies. Coordinates site visits for ... regard to regulatory requirements and government contract administration Lead the communication of..
Job Information Humana Telephonic Care Manager in Riverton Wyoming Description The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a comprehensive, holistic approach for Behavioral ..
Description Responsibilities The Billing & Enrollment Representative will assist members in a fast-paced inbound call center environment. You will be responsible for: Processing enrollments, payments, address changes or other enrollment related ..
... Humana Provider Data Management & Contract Load Professional in Riverton Wyoming ... Description Provider Data Management & Contract Load Professional 2 is responsible ... The Provider Data Management &..
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 Credentialing Assistant 3/Government Business - Work at Home in Riverton Wyoming Description The Credentialing Assistant 3 obtains and reviews documentation to determine status in a health plan. The ..
Description The Senior IT Compliance Professional audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information ..
Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the US) in Riverton Wyoming Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental requirements. The Senior Compliance Professional ..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
Description Responsibilities If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver ..
Job Information Humana Senior Compliance Professional (Network & Credentialing) in Riverton Wyoming Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex ..
Job Information Humana Senior Cloud Services Engineer in Riverton Wyoming Description Responsibilities Are you looking for an innovative way to utilize your cloud engineering skills in hybrid cloud environment and support ..
Description The Correspondence Representative 2 performs research, analysis, documentation, and interpretation for the provider reimbursement programs for an organization that provides health insurance. Updates, maintains, and reviews fee scheduling and pricing ..
Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability shine? ..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Riverton Wyoming Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ..
... to assignments. Department of Defense contract requires U.S. citizenship Requires process ... citizenship Requires process to obtain Government Security Clearance, eQIP, to work ... Clearance, eQIP, to work on..
Job Information Humana Senior Cloud Security Engineer (virtual remote) in Riverton Wyoming Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..
Job Information Humana Director, Informatics in Riverton Wyoming Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional ..
Job Information Humana Senior Compliance Professional (PBM & Pharmacy) in Riverton Wyoming Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex ..