Healthcare Specialist Jobs

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 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 ..

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 Dover Delaware 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 ..

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 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 ..

Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Dover Delaware Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and ..

... position for a Senior Start-up Specialist- Surgical Robotics to be part ... have established mandatory requirements for healthcare workers and others working in ... scheme and group discount on..

Job Information Humana Pharmacy Claims Specialist, Remote in Dover Delaware Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 performs ..

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 Vendor Management Specialist 3 in Dover Delaware Description ... Delaware Description The Vendor Management Specialist 3 works as liaison between ... and organization. The Vendor Management Specialist..

Remote Inpatient Coding Opportunity – Full-time/Director Hire   Requirements:  3+ years of Inpatient Coding, Auditing experience preferred   Credentials:  CCS, RHIT, or RHIA Required   Reviews and evaluates hospital inpatient medical record documentation to ..

... to welcome a Clinical Nurse Specialist Inpatient Care to join their ... their team. The Clinical Nurse Specialist Inpatient Care will work for ... ambitious and knowledgeable Clinical Nurse..

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 ..

**Careers that Change Lives** Interested in a remote clinical sales role with flexible working arrangement? We have an unique opportunity for an experienced and motivated clinical sales professional to join our ..

Job Information Humana Senior Integration Specialist - Cloud in Dover Delaware Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating functional silos existing between development ..

Job Information Humana Vulnerability Remediation Specialist (Remote) in Dover Delaware Description The Systems Engineer 2 is responsible for design, analysis, configuration and maintenance of complex systems software solutions, based on a ..

Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to ..

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 Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Dover Delaware Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..