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Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
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 ..
Description The Risk Adjustment Representative 2 (Medical Record Retrieval Rep) performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments Responsibilities Be a part of ..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Tulsa Oklahoma Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..
Description The Pharmacy Development Specialist will be responsible for qualifying and managing new business leads and cultivating prospects and sales. Responsibilities Summary The Business Development Specialist will be responsible for managing ..
Job Information Humana Senior Integration Specialist - Cloud in Tulsa Oklahoma Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating functional silos existing between development ..
Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..
Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..
Job Information Humana Pharmacy Claims Specialist, Remote in Tulsa Oklahoma Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 performs ..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Job Information Humana Vulnerability Remediation Specialist (Remote) in Tulsa Oklahoma Description The Systems Engineer 2 is responsible for design, analysis, configuration and maintenance of complex systems software solutions, based on a ..
Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Tulsa Oklahoma Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and ..
... looking for a Patient Account Specialist to join their team. They ... for all assigned accounts Resolving insurance billing problems and answering patient ... for delinquent payments from both..
Description The Medical Record Retrieval Specialist (Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding ..
Description The UM Compliance Letters Specialist/Coordinator 2 contributes to administration of utilization management in the Compliance department. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..
Job Information Humana Vendor Management Specialist 3 in Tulsa Oklahoma Description ... Oklahoma Description The Vendor Management Specialist 3 works as liaison between ... and organization. The Vendor Management Specialist..
... Certified Diabetes Care and Education Specialist-Remote-US in Tulsa Oklahoma Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..
Description The UM Specialist /UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
Job Information Humana Specialty Drug Site of Care Specialist in Tulsa Oklahoma Description The Specialty Pharmacy Programs Clerk 2 supports clinical programs and comprehensive insights directly related to Specialty Pharmacy products ..
Description The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where ..