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Description The Director, Health Services utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health Services requires an in-depth understanding ..
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Description The Manager, Specialty Sales & Retention - Employer Group responds to inbound calls inquiring about commercial health plans, places outbound calls based on leads, and completes the sales of products ..
Description The Financial Underwriting Representative 3 computes rates for both renewing and prospective moderate to complex group accounts. The Financial Underwriting Representative 3 performs advanced administrative/operational/customer support duties that require independent ..
Description iCare is a wholly-owned subsidiary of Humana and the second largest DSNP plan in the state of Wisconsin. iCare services members across the following state Medicaid programs: BadgerCare Plus, SSI, ..
Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the ..
Description The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if a grievance, appeal, or further request is ..
Job Information Humana Social Media Representative 3 - Remote in US in Tulsa Oklahoma Description The Social Media Representative 3 protects company's brand image by monitoring and addressing social media comments ..
... a Senior Demand and Portfolio Manager working in Technology, Strategy, Operations ... issues regarding technical approach for project components, and work is performed ... portfolio planning and management for..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Tulsa Oklahoma Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Description The Inbound Contacts Representative 4 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 4 assumes ownership and leads advanced and highly specialized administrative/operational/customer ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Tulsa Oklahoma Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..
Description The Senior Learning Design Professional uses instructional design, cognitive psychology and adult learning theory to determine the appropriate solution in order to conduct or facilitate training courses for organization employees ..
Description The Medical Coding Coordinator 3 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 ..
Job Information Humana Lead Data Manager - ESS in Tulsa Oklahoma Description ESS Business Intelligence is an Enterprise Shared Services team focused on data, reporting and data science supporting Humana's Service ..
Job Information Humana Project Manager 2 (Medicaid Operations) - Remote, ... Healthy Horizons is seeking a Project Manager 2 who will manage all ... timely and within budget. The Project..
Description The Workforce Management Representative 3 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, ..
Description CarePlus is seeking a Nursing Educator 2 who will plan, direct, coordinate, evaluate, develop, and/or deliver training and education programs for professional nursing personnel. The Nursing Educator 2 work assignments ..
... Healthy Horizons is seeking a Project Management Lead who will manage ... a Medicaid state implementation. The Project Management Lead will manage and ... guidance and direction to the..
Description The Senior Learning Design Professional, Military Spouse Intern will utilize Humana's Centralized Medicaid training and engage formerly acquired skillsets from the military experience and education to perform within the learning ..
Description The Intern - Project Manager performs varied activities moderately complex ... Team. Responsibilities The Intern - Project Manager, will utilize Humana's Kentucky Medicaid ... progress and performance against the..
Job Information Humana DoD SkillBridge or Military Spouse Learning Design Professional Intern in Tulsa Oklahoma Description The Learning Design Professional 1 Intern follows established procedures and guidelines to provide timely and ..
