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Description The Payment Integrity Professional 2 uses technology and data mining, ... financial recovery. The Payment Integrity Professional 2 work assignments are varied and ... with Humana. The Payment Integrity..
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Description The Senior Portfolio Management Professional collaborates with the business portfolio ... and demand. The Senior Portfolio Management Professional work assignments involve moderately complex ... Description Summary The Senior Portfolio..
... The Senior Demand and Portfolio Management Professional collaborates with the business portfolio ... The Senior Demand and Portfolio Management Professional work assignments involve moderately complex ... The Senior Demand..
Description The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support ... administration determinations. The Senior Utilization Management Behavioral Health Professional work assignments involve moderately..
Job Information Humana Senior Innovation Portfolio Strategy ... Humana Senior Innovation Portfolio Strategy Professional in Charleston West Virginia Description ... structured problem solving, and project management rigor. We are a..
Job Information Humana Senior Risk Management Professional - Third Party Risk Management-Remote, US in Charleston West Virginia Description ... Virginia Description The Senior Risk Management Professional a critical member within..
... a traditional payer to a health care company with deep and ... domains: (1) seeking/gathering physician/clinician perspectives, (2) collaborating with business leaders to ... association relationships (e.g., Medical Group..
Description The Data and Reporting Professional II generates ad hoc reports ... and regular datasets or report information for end-users using system tools ... scripts. The Data and Reporting Professional..
Job Information Humana RN, Senior Stars Improvement, ... RN, Senior Stars Improvement, Clinical Professional in Charleston West Virginia Description ... RN, Senior Stars Improvement, Clinical Professional who will be responsible..
Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... for an organization that provides health insurance. The Senior Provider Contracting ... insurance. The Senior Provider Contracting Professional..
Job Information Humana Licensed Behavioral Health Professional - Quality Audit in Charleston ... is seeking a Licensed Behavioral Health Quality Audit Professional. This position ensures mandatory reporting ... audits. Responsibilities..
Description The Senior Learning Design Professional uses instructional design, cognitive psychology ... audiences. The Senior Learning Design Professional work assignments involve moderately complex ... Responsibilities The Senior Learning Design Professional..
... a Senior Communications and Marketing Professional to join our growing team. ... The Senior Communications and Marketing Professional will create and lead strategy ... or marketing experience in a..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments are..
... looking for Senior Provider Installation Professional to join the team working ... from home anywhere in the US. The Senior Provider Installation Professional administers the installation of assigned .....
Job Information Humana Care Manager, Telephonic Behavioral ... Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Charleston West Virginia Description ... Defense to administer the TRICARE health..
Job Information Humana Inpatient Medical Coding Auditor ... Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Charleston West Virginia Description ... Medical Coding Auditor extracts clinical information from a..
Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist ... requests. The Oncology Staff Utilization Management Pharmacist work assignments involve moderately ... Responsibilities The Oncology Staff Utilization Management..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Charleston West Virginia Description ... Medical Coding Auditor extracts clinical information from a variety of medical ... clarifies internal requests..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Charleston West Virginia Description ... Medical Coding Auditor extracts clinical information from a variety of medical ... clarifies internal requests..
Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... and abuse. The Compliance Nurse 2 work assignments are varied and ... of action. The Compliance..
Description The Care Management Support Assistant 3 contributes to ... contributes to administration of care management. Provides non-clinical support to the ... wellbeing of members. The Care Management Support Assistant..
Description The Health Information Management Professional 2 ensures data integrity for claims ... integrity for claims errors. The Health Information Management Professional 2 work assignments are varied and ... courses..
