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Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ..
Job Information Humana Contract Tools, Education, Processes Professional - Louisville, KY or Remote (EST hours) in Fairmont Minnesota Description The Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in ... in Fairmont Minnesota Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records..
Job Information Humana Administrative Coordinator in Fairmont Minnesota Description The Administrative Coordinator (Business Support Coordinator) follows established procedures and guidelines to provide timely and effective clerical support to the Associate Vice ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
Description The Market Finance Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The Northeast Region is seeking a Market Finance ..
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., ICD-10-CM,..
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., ICD-10-CM..
... reviews for the nursing and medical team Answering departmental phones as ... generating letters Proficient utilizing electronic medical record and documentation programs Proficient ... programs Proficient and/or experience with..
Job Information Humana Manager, Fraud and Waste-Remote US in Fairmont Minnesota Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Description The Provider Process Team is a process organization residing within the Consumer and Provider Service Organization. Provider Process's mission is to develop, operationalize, and train business processes through thoughtful collaboration ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in ... in Fairmont Minnesota Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Fairmont Minnesota Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain high quality ..
Job Information Humana Compliance Prof 2/Process and Market Support- Remote in US in Fairmont Minnesota Description Do you crave new challenges and solving problems? Are you looking for an opportunity to ..
Description The Senior Market Finance Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The Northeast Region is seeking a Senior ..
Description The Healthcare Financial Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The East Central Region is seeking a Healthcare ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
... and quality assurance audits of medical records and ICD-9/10 diagnosis codes ... while analyzing coding information and medical records May participate in provider ... day of employment. Benefits include:..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in ... in Fairmont Minnesota Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records..
Job Information Humana Business Intelligence Engineer 2 - Remote in US in Fairmont Minnesota Description The Business Intelligence Engineer 2 solves complex business problems and issues using data from internal and ..
Description The Medical Coding Coordinator 3 extracts clinical ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
Description The Medical Coding Coordinator 2 extracts clinical ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..