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Description Humana's recently created Clinical Resource Team is looking to grow the team with a Senior Nurse Auditor roles! This is a unique team that's primary role is to quickly jump ..
Description The MarketPoint Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional works assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Riverton Wyoming Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to ..
Description The RN Clinical team is looking for a dynamic Registered Nurse to join the team working remote anywhere in the US or in Louisville, KY! We are looking for someone ..
Job Information Humana Senior Market Development Professional-RN-WAH Nationwide in Riverton Wyoming Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, ..
Description Humana Healthy Horizons is seeking a Strategy Advancement Advisor (Medicaid Business Development) who will provide data-based strategic direction to identify and address business issues and opportunities. The Strategy Advancement Advisor ..
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 ..
... Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple ... teams is utilized by Desktop Audit team members to continuously improve ... members to continuously improve the..
... a plan to monitor and audit business processes to prevent, detect, ... PBM administration compliance issues. Develop audit methodology and perform auditing and ... potential compliance issues. Partner with..
... is looking for an experienced Healthcare Investigator to join its industry ... billing practices. Prepares investigative and audit reports. Begins to influence department's ... areas Bachelor's degree or significant..
Job Information Humana Sr. IT Disaster Recovery Engineer (Virtual remote home office eligible) in Riverton Wyoming Description The Senior IT Disaster Recovery Engineer will primarily support, coordinate and transform ITDR in ..
Job Information Humana Data Governance & Privacy Risk Management Lead-Remote, US in Riverton Wyoming Description The Data Governance & Privacy Risk Management Lead is responsible for managing the Data Governance and ..
Job Information Humana Enterprise Transformation Lead - Office or Remote in Riverton Wyoming Description The Enterprise Transformation Lead provides data-based strategic direction to identify and address business issues and opportunities. Provides ..
... a plan to monitor and audit business processes to prevent, detect, ... of business compliance issues. Develop audit methodology and perform auditing and ... and exams. Lead onsite program..
Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Professional work assignments involve moderately ..
Description The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the ..
Job Information Humana Strategy Advancement Lead, Senior Products Actuarial in Riverton Wyoming Description The SPA Process and Models Lead supporting the execution of core Senior Product Actuarial processes and projects provides ..
Job Information Humana Senior Data and Reporting Professional (Remote) in Riverton Wyoming Description Humana's Claims Process Organization is looking for a Senior Data & Reporting Professional to join the team working ..
Job Information Humana Storage Administrator- Storage and Backup in Riverton Wyoming Description At Humana we are committed to helping people live healthy and happy through personalized care. Following the same mantra, ..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..