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Job Information Humana Healthcare Data Analyst in Louisville Kentucky Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. ..
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... for a Senior Business Systems Analyst to join working remote anywhere ... US! The Senior Business Systems Analyst performs analysis of business, process ... analysis and translation into proper..
... Medicaid Quality Data and Reporting Analyst generates ad hoc reports and ... report information for end-users using system tools and database or data ... Medicaid Quality Data and Reporting..
Description The Market Development Professional 2 provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development ..
Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..
... Humana Lead Product Manager - Healthcare API in Louisville Kentucky Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
OverviewnJOB SUMMARYnThe team member performs highly technical and specialized functions for the Central Business Office. The team member reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and ..
Description As a Senior Software Engineer within Centerwell Clinical IT engineering team, you will develop applications which have a distinct positive impact upon members services utilization and case management. He/ She ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Description The Healthcare Financial Analyst collects, analyzes, and reports on ... Central Region is seeking a Healthcare Financial Analyst to partner closely with our ... complex analytics and reporting. The..
Job Information Humana Data Manager / ETL Developer - Primary Care Organization in Louisville Kentucky Description The Data Manager 2 supports all aspects of configuration control, data management, and deficiency reporting. ..
... design and build the Epic system in a timely and professional ... configuration. Review, analyze, and evaluate system needs to develop recommendations for ... support, and maintain all required..
... of all ancillary devices assuring it follows manufacturer’s recommendations and in ... OSHA requirements are met.Reviews water system documentation to verify compliance (i.e. ... trend analysis on the water..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records, and reviews medical documentation for clinical indicators to ensure specific procedures meet clinical criteria and correct coding ..
Description The Health Information Management Professional 2 ensures data integrity for claim errors while maintaining ongoing research and special projects. The Health Information Management Professional 2 work assignments are varied and ..
Job Information Humana Healthcare Services, Pharmacy Product Owner in Louisville Kentucky Description The Senior Product Owner is responsible for conveying product vision and roadmap to an Agile delivery team by defining ..
Description Risk Adjustment Coders are responsible for reviewing medical records, completing multiple audits, and special projects. Associates in this role work collaboratively with other departments. Responsibilities The Risk Adjustment Coder ensures ..
... of information technology in the healthcare setting. This position will serve ... as a liaison between the IT department and operations to align ... department and operations to align..
Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..
OverviewnThe System Healthcare Analyst, Controlled Substance Accountability: Audit and ... of reports from pharmacy and system IT programs related to controlled substance ... for duties provided by the System Supervisor..
... Humana Senior Consumer Service Operations Analyst-Remote KY, IN or WI in ... provider and member experience as it pertains to ensuring accurate and ... education. Required Qualifications - What..
... for leading interaction with our IT partners to ensure a clear, ... consultant to an agency, vendor, IT, digital and communications teams to ... update our documentation library with..
Description This position requires you to live within commutable distance of the office. The CenterWell Medical Coder conducts review of medical records to apply medical codes (ICD10, CPT, CPTII) for professional ..
