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Description The Field Care Manager NP assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for ..
Job Information Humana Data Analyst/Consumer Experience Professional 2 - Remote/Virtual in US in Greensboro North Carolina Description The Consumer Experience Professional 2 ensures optimized experience between Humana and Providers through data ..
Job Information Humana Senior Financial Analyst - Remote in Greensboro North ... vision is to improve member healthcare through innovative analytics and actionable ... is seeking a Senior Financial Analyst..
Job Information Humana Senior Data & Reporting Professional in Greensboro North Carolina Description The Senior Data and Reporting Professional generates ad hoc reports and regular datasets or report information for end-users ..
Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data ..
Job Information Humana Senior Project Manager in Greensboro North Carolina Description The Senior Project Manager manages all aspects of a project, from start to finish, so that it is completed on ..
Job Description This position is a Quality Monitoring position, at ActiveHealth, involving performance evaluations of Case Management staff for commercial and Medicare business. -Position may also be responsible for evaluations of ..
... work experience; Technical background in healthcare or companies is preferred. Minimum ... regulated companies a plus (pharmaceutical, healthcare, financial institutions or similar). Responsibilities ... you and/or others. Document Strong..
Job Information Humana Lead Unified Communications Engineer Remote (virtual remote home office) in Greensboro North Carolina Description The Lead Unified Communications Engineer is responsible for designing and implementing all or part ..
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 ..
... (POC). Monitors cases to ensure documentation is in compliance with regulatory ... own the review of clinical documentation in addition to feedback and ... Case Managers and clinical staff..
... preference with judicious use of healthcare resources Educates physicians regarding InterQual ... Educates physicians regarding InterQual criteria, documentation of patient acuity and treatment ... for high-risk patients across the..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Greensboro North Carolina Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..
Job Information Humana Senior Cloud Security Engineer (virtual remote) in Greensboro North Carolina Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security ..
PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality patient ..
... Humana Senior Data and Reporting Analyst - Remote Nationwide in Greensboro ... The Senior Data and Reporting Analyst generates ad hoc reports and ... The Senior Data and Reporting..
Job Information Humana Business Intelligence Engineer 2 - Remote in US in Greensboro North Carolina Description The Business Intelligence Engineer 2 solves complex business problems and issues using data from internal ..
Job Information Humana Provider Reimbursement Professional 2-Remote in US in Greensboro North Carolina Description The Medical/Financial Risk Evaluation Professional 2 is responsible for supporting the development, implementation and monitoring of medical/financial ..
Job Information Humana Senior Cloud Security Engineer in Greensboro North Carolina Description The Senior Cloud Security Engineer-AWS Responsible for build, deployment and maintenance of the multi-cloud security controls; engineering the security ..
Admin / Clerical (13) Advanced Practice Registered Nurses / Physician Assistants (4) Allied Health (31) Clinical Research (1) Dentistry (2) Executive (56) General Nursing (65) Hospitality, Facility, Environmental Support (5) Mental ..
Job Information Humana Senior Provider Contracting Professional in Greensboro North Carolina Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an ..
Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..
Job Information Humana Senior Data & Reporting Professional-Remote in US in Greensboro North Carolina Description The Senior Data and Reporting Professional generates ad hoc reports and regular datasets or report information ..