Medical Jobs

Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g. CPT)..

Job Information Humana Supervisor, Grievances & Appeals - Remote, EST or CST in Cincinnati Ohio Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review ..

Job Information Humana Clinical Services Pharmacy Technician - Remote in Cincinnati Ohio Description The Consultative Pharmacy Technician 2 certified Pharmacy Technician who acts as an intake for all calls from patients, ..

Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Cincinnati Ohio Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..

... OR Provide documentation for a medical or religious exemption consideration. This ... coordinating the intake of necessary medical documents, completing letter templates, and ... Preferred Qualifications Proficient utilizing electronic..

Job Information Humana Oncology Market Director in Cincinnati Ohio Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to Humana ..

Job Information Humana Utilization Management Registered Nurse - Remote in Cincinnati Ohio Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..

Job Information Humana Grievances & Appeals Representative 4 (FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Cincinnati Ohio Description The Grievances & Appeals Representative 4 manages client medical denials ..

Job Information Humana Senior Clinic Emerging Markets Trainer, Merger & Acquisition - Remote in Cincinnati Ohio Description The Senior Clinic Emerging Markets Trainer creates and implements processes and programs to ensure ..

Job Information Humana Subrogation Professional 2 Remote/WAH in USA in Cincinnati Ohio Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying ..

Job Information Humana Inside Sales Representative (Specialty Pharmacy) in Cincinnati Ohio Description The Pharmacy Inside Sales Rep- New York, works to leverage targeted geographic analysis, and engages with Physician offices telephonically ..

Job Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes Care and Education Specialist-Remote-US in Cincinnati Ohio Description The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless nursing ..

Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Cincinnati Ohio Description The Quality (Non-Calls) Professional 2 ensures that products meet specific Centers ..

Job Information Humana Manager, Utilization Management RN - Remote in Cincinnati Ohio Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical ..

Job Information Humana Medical Claims Processing Representative 2 in ... in Cincinnati Ohio Description The Medical Claims Processing Representative 2 reviews ... Go365 perks for well-being Responsibilities Medical Claims Processing..

... Do you love researching, analyzing medical documents to determine if something ... considered yourself a detective for medical claims / member benefits? Well, ... your help with: Managing client..

Job Information Humana Quality (non-calls) Professional 2/ Quality Audit/G&A (FULLY BILINGUAL English/Spanish) Remote, anywhere with Easter Time Zone in Cincinnati Ohio Description The Quality (Non-Calls) Professional 2 ensures that products meet ..

Job Information Humana Compact License-Utilization Management Behavioral Health Professional 2--Remote, MI, NV, CA, OH in Cincinnati Ohio Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills ..

Job Information Humana Social Media Representative 3 - Remote in US in Cincinnati Ohio Description The Social Media Representative 3 protects company's brand image by monitoring and addressing social media comments ..

Job Information Humana Pharmacy Sales Oncology Lead in Cincinnati Ohio Description The Pharmacy Sales Oncology Lead leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions ..

Job Information Humana Manager, Specialty Pharmacy Sales in Cincinnati Ohio Description The Manager, Pharmacy Sales - Specialty leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' ..

Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Cincinnati Ohio Description The Quality (Non-Calls) Professional 2 ensures that products ..

Job Information Humana Subrogation Professional 2-WAH in US in Cincinnati Ohio Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all ..