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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 ..
Job Location: Fayetteville, AR Job Type: Full Time Department : Clinic Admissions Shift : 1st Job Posting: Call Center Registration Specialist (Monday - Friday 9:30am - 6pm) Employment Type: Full Time ..
Job Location: Fayetteville, AR Job Type: Part Time Department : ER Admitting Shift : 7AM to 7PM Job Posting: Admitting Specialist (Saturday & Sunday 7am - 7pm) Employment Type: Part Time ..
Job Information Humana FP&A Lead, Medicaid Market in Rogers Arkansas Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Rogers Arkansas Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..
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 Pharmacy Claims Specialist, Remote in Rogers Arkansas Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 performs ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Description The 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 works on ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..
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 ..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
Description The Clinical Applications Trainer (aka Senior Technology Sales Professional) promotes and sells a portfolio of technical products and/or services and solutions directly to current and new end customers. The Senior ..
Job Location: Fayetteville, AR Job Type: Full Time Department : ER Admitting Shift : Other Job Posting: ER Admitting Specialist (Saturday & Sunday 8:30am - 7pm) Employment Type: Full Time Location: ..
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 ..
Job Location: Fayetteville, AR Job Type: Part Time Department : ER Admitting Shift : Saturday/Sunday Shifts Vary Job Posting: Admitting Specialist (Saturday 6:30pm - 7am; Sunday 5pm - 1am) Employment Type: ..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Bentonville Arkansas Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..
Job Information Humana Lead Technology Leadership Professional in Bentonville Arkansas Description The Lead Technology Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Lead ..
Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Rogers Arkansas Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Job Information Humana Senior Integration Specialist - Cloud in Rogers Arkansas Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating functional silos existing between development ..
Job Location: Fayetteville, AR Job Type: Full Time Department : Clinic Admissions Shift : Monday - Friday Days Job Posting: Call Center Registration Specialist (Full time: Monday-Friday 8:00am-4:30pm) Employment Type: Full ..
... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..