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Description The MarketPoint Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional works assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
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 ..
Description The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
Salesforce Engineering Manager Duties: Lead an established team of skilled Salesforce Developers to build reliable, scalable and high performing solutions on the Salesforce platform; used by thousands of internal employees and ..
Description The Business Intelligence Engineer 2 solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Engineer 2 work assignments ..
Job Information Humana Compliance Lead - Remote in Saint Augustine Florida Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ..
Job Information Humana Storage Administrator- Storage and Backup in Saint Augustine Florida Description At Humana we are committed to helping people live healthy and happy through personalized care. Following the same ..
... Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in ... Florida Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Description The Senior Risk Management Professional identifies, analyzes, and works to mitigate potential sources of risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the ..
Description Introduction The 3rd Party Segment Lead will execute and lead a team of risk professionals in conducting cyber and regulatory-driven assessments and oversight of key 3rd Parties across designated business ..
Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding Auditor work assignments are varied and ... for an experienced medical coding auditor to..
Description The Supply Chain Professional 2 reports through Humana's Pharmacy Supply Chain and performs DSCSA (Drug Supply Chain Security Act) compliance related tasks in support of Humana's Pharmacy inventory receiving operations. ..
Description Job Description The IT Project Manager 2 will lead the IT M&A Security Remediation project management team. This role will actively manage stakeholder partnerships with a focus on mitigating risks ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
Internal Controls Analyst Duties: Develop reporting to evaluate the integrity and performance of financial systems, teams, and processes. Identify, capture, and monitor Key Performance Indicators (KPI) of the business. Develop and ..
Job Information Humana Enterprise Transformation Lead - Office or Remote in Saint Augustine Florida Description The Enterprise Transformation Lead provides data-based strategic direction to identify and address business issues and opportunities. ..
Job Information Humana Claims Review Representative 2 in Saint Augustine Florida Description The Claims Review Representative 2 , will be part of the Medical Financial Recovery Overpayment Team which consists of ..
Description The Compliance (UM) Professional 2 conducts and summarizes compliance audits. The Compliance (UM) Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses ..
... Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Saint Augustine ... Florida Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
... Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Saint Augustine ... Florida Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Description The Manager, Membership and Plan Services (MPS) Risk Management will be responsible to lead a team of risk professional associates to help identify risk, oversee implementation to drive operational excellence, ..
Job Information Humana Manager, Fraud and Waste-Remote US in Saint Augustine Florida Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..