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Description The Director, Market Leadership (COO) establishes long-range goals, objectives, and plans; monitors financial and operational performance. He/she will be responsible for the strategic development and oversight of operations for Humana's ..
Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
... (CCM) organization is seeking a Manager, Fraud & Waste to join ... join the Provider Payment Integrity-Clinical Audit team working remote anywhere in ... As the Fraud & Waste..
Job Information Humana Strategy Advancement Lead, Senior Products Actuarial in Tulsa Oklahoma Description The SPA Process and Models Lead supporting the execution of core Senior Product Actuarial processes and projects provides ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Tulsa Oklahoma Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
... 40) market leader in integrated healthcare whose dream is to help ... for the role of Director, Internal Audit. In this role, you will ... this role, you will..
... looking for an experienced Senior Healthcare Investigator to join its industry ... practices. Prepares complex investigative and audit reports. Begins to influence department's ... o Able to collaborate with..
... Job Description The IT Project Manager 2 will lead the IT ... a strong ability to manage internal and external resources, remotely and ... with Information Security Risk Management,..
... is looking for an experienced Healthcare Investigator to join its industry ... billing practices. Prepares investigative and audit reports. Begins to influence department's ... o Able to collaborate with..
Job Information Humana Regional VP, Operations Medicaid in Tulsa Oklahoma Description The Chief Operating Officer (COO) establishes long-range goals, objectives, and plans and monitors financial and operational performance. They will be ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Tulsa Oklahoma Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Tulsa Oklahoma Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
... appropriate responses to regulatory exams, internal and external audits, requests for ... in responding to regulatory and/or audit exams, a strong understanding of ... skills, both oral and written..
... Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, ... Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2, ... include: Collaborate with the Quality..
Description The Medical Coding Auditor 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 Coding ..
Job Information Humana Market Development Advisor (Remote US) in Tulsa Oklahoma Description Humana's Medicaid Strategic Partnership team is looking for an experienced Market Development Advisor to join working remote anywhere in ..
Job Information Humana Manager, Compliance - Agent Investigation Unit ... in Tulsa Oklahoma Description The Manager, Compliance ensures compliance with governmental ... compliance with governmental requirements. The Manager, Compliance works..
Job Information Humana Behavioral Health Medical Director - Oklahoma Medicaid in Tulsa Oklahoma Description Humana's Oklahoma Medicaid BH Medical Director will oversee our behavioral health (BH) clinical program for Oklahoma Medicaid ..
Description The Director, IT Compliance audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information systems ..
... of Enterprise Information Protection (EIP), Internal Audit, Enterprise Risk Management, business units, ... to ensure engagements with key internal, regulatory and industry groups to ... and industry groups to..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Tulsa Oklahoma Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana Vendor Management Lead (Remote US) in Tulsa Oklahoma Description Humana's Medicaid Strategic Partnership team is looking for an experienced Vendor Management Lead to join working remote anywhere in ..