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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Job Information Humana Contract Tools, Education, Processes Professional - Louisville, KY or Remote (EST hours) in St Cloud Minnesota Description The Contract Tools, Education, Processes Professional builds templates, standard documentation, policy ..
... work experience; Technical background in healthcare or companies is preferred. Minimum ... in Linux and/or Windows System Administration tasks including OS installation, configuration, ... regulated companies a plus (pharmaceutical,..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in St Cloud Minnesota Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..
Job ID 21000LZJAvailable Openings 1Position Specific Information $5,000 – no dialysis experience required. We provide paid dialysis training! PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an ..
Description The Medical Coding Coordinator 2 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 ..
Job ID 21000LZ2Available Openings 2Position Specific Information SIGN ON BONUS: $2500 - no experience in dialysis needed, on the job paid training! $5000 – experienced CCHT PURPOSE AND SCOPE: Supports FMCNA’s ..
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 Utilization Management Administration Coordinator in St Cloud Minnesota ... Cloud Minnesota Description The UM Administration Coordinator 2 contributes to administration of utilization management. How we ... is..
Job ID 21000LZRAvailable Openings 1Position Specific Information SIGN ON BONUS: $2500 - no experience in dialysis needed, on the job paid training! $5000 – experienced CCHT PURPOSE AND SCOPE: Supports FMCNA’s ..
Description The Medical Coding Coordinator 3 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 ..
Job ID 21000LYVAvailable Openings 1PURPOSE AND SCOPE: Performing general office duties incorporating a variety of basic and routine clerical and secretarial duties in a clinical environment. PRINCIPAL DUTIES AND RESPONSIBILITIES: Under ..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
Description The Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. The Director, Technology Solutions requires an in-depth understanding of how organization capabilities interrelate across ..
Description Humana is rapidly evolving from an insurance company with elements of health to a healthcare company with elements of insurance. We are embarking on an ambitious journey to implement a ..
Job Information Humana Storage Administrator- Storage and Backup in St Cloud Minnesota Description At Humana we are committed to helping people live healthy and happy through personalized care. Following the same ..
ESSENTIAL DUTIES AND RESPONSIBILITIES: Perform Drug and Alcohol screenings for applicants. Conduct Hearing testing for applicants. Conduct medical assessment for applicants. Document and enter details of occupational health visits into Cority. ..
Description The Cyber Intelligence Threat Analyst (TVM Engineer 2) ensures that threats and vulnerabilities to the organization's business systems and applications (both in-house and cloud-based) are minimized. The Cyber Intelligence Threat ..
Description The Care Management Support Assistant 2 contributes to administration of Care Management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
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 ..
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 Quality Improvement Coordinator in St Cloud Minnesota Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. ..