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Description The Credentialing Professional 2 obtains and reviews ... in a health plan. The Credentialing Professional 2 work assignments are ... courses of action. Responsibilities The Credentialing Professional 2 reviews..
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... Leadership as they advance Humana's healthcare distribution model into our future-state ... time Humana, a Fortune 100 Healthcare Company Humana is a Fortune ... Humana is a Fortune 100..
... Humana is a Fortune 60 healthcare company with a history of ... top place to work in healthcare, especially in areas of Diversity ... a personalized, seamless and easy..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g. CPT) to patient records. The Medical Coding Auditor ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Senior Physician Recruiter recruits qualified physicians for medical staff and assists in development of strategic physician recruitment plans. The Senior Physician Recruiter work assignments involve moderately complex to complex ..
Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
We Are Hiring Are you interested in pursuing a career in healthcare, but not sure where to start? Consider a fulfilling career with AMITA Health and be a critical part of ..
Description Innovation. Automation. Collaboration. Creation. These are just a few words that could describe your next opportunity. Humana is looking for a credentialed actuary that takes pride in their ability to ..
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 ..
u003cpu003eu003cstrongu003eEducation/Experience:u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eMasteru0026rsquo;s degree in Psychology, Art Therapy, Counseling, or related discipline required. Earned Doctorate in similar/same disciplines preferred. u0026nbsp;u003c/liu003enu003cliu003eMinimum four (4) years of post-graduate teaching and/or clinical experience required providing Art Therapy ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
Description The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. The Coding Educator 2 work assignments are varied and frequently ..
Description Humana is seeking a Director of Strategy with significant strategy consulting experience to manage and deliver strategy projects and analysis on behalf of our Medicare Prescription Drug Plan business. You'll ..