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Description The Senior Learning Design Professional uses instructional design, cognitive psychology and adult learning theory to determine the appropriate solution to a knowledge or performance gap. The Senior Learning Design Professional ..
Description The Billing & Reconciliation Representative 2 determines discrepancies between company records and the records of Center for Medicare and Medicaid Services. The Billing & Reconciliation Representative 2 performs varied activities ..
Description The Medical/Financial Risk Evaluation Professional 2 is responsible for supporting the development, implementation and monitoring of medical/financial risk. The Medical/Financial Risk Evaluation Professional 2 work assignments are varied and frequently ..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Riverton Wyoming Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ..
Description The Network Operations Coordinator 3 manages provider data including but not limited to demographics and contract accuracy. Additional Information - How we Value You Benefits starting day 1 of employment ..
Job Information Humana Associate Director/Grievances and Appeals-Remote/Virtual in US in Riverton Wyoming Description The Associate Director, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of ..
Description The Senior Consumer Experience Professional ensures optimized interaction between a company and members. The Senior Consumer Experience Professional's work assignments involve moderately complex to complex issues where the analysis of ..
Description The Senior Installation Administration Professional establishes and manages relationships with internal and external clients. Coordinates end to end process from the point of sale to members loaded in system, ID ..
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 ..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Riverton Wyoming Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to ..
Description The Provider Connectivity Professional 2 provides analysis and support to both internal and external customers on complex EDI-related issues (i.e., electronic exchange of data including authorizations/referrals, eligibility and benefits, electronic ..
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 Data Analyst/Consumer Experience Professional 2 - Remote/Virtual in US in Riverton Wyoming Description The Consumer Experience Professional 2 ensures optimized experience between Humana and Providers through data analysis. ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Riverton Wyoming Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
Description The Data and Reporting Professional 1 generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The ..
Description The Learning Facilitation Professional 2 conducts or facilitates training courses for organization employees or external audiences. The Learning Facilitation Professional 2 work assignments are varied and frequently require interpretation and ..
Job Information Humana Project Manager 2 - Remote in US in Riverton Wyoming Description The Project Manager 2 manages all aspects of Medicaid projects as it relates to Availity, from start ..
Job Information Humana Contract Tools, Education, Processes Professional - Louisville, KY ... Wyoming Description The Contract Tools, Education, Processes Professional builds templates, standard ... class knowledge. The Contract Tools, Education,..
Job Information Humana Provider Senior Project Manager/Medicaid-Remote/Virtual in US in Riverton Wyoming Description The Senior Project Manager manages all aspects of a project, from start to finish, so that it is ..
Description The Subrogation Professional 2 iIdentifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..