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... action taken in the member services department is to facilitate access ... emphasis on member advocacy and patient safety. While this associate receives ... action taken in the member..
... specific care plan and coordinates services Ensures members are receiving services in the least restrictive setting ... to meet those needs Coordinating services, and monitoring and evaluating the .....
Job Information Humana Call Center Pharmacy Claims Technician, Remote in Dover Delaware Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative ..
... join our cardiac remote monitoring services team. You will enjoy responsibility ... about optimal settings for each patient Operate projects and look to ... service efficiency Answer customer /..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Dover Delaware Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Dover Delaware Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that can ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Dover Delaware Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
Job Information Humana Senior Contract Tools, Education, Processes Professional - Remote in Dover Delaware Description The Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and protocol, case studies, ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Dover Delaware Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
Job Information Humana Manager, Fraud and Waste-Remote US in Dover Delaware Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Dover Delaware Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team ..
Job Information Humana Digital Channel Sales Strategy And Transformation Lead - Louisville, KY or Remote in Dover Delaware Description The Digital Channel Sales Strategy and Transformation Lead enhances the consumer experience ..
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 ..
... Activities, including those related to patient satisfaction and actively participates in ... training of all appropriate direct patient care personnel as well as ... Functions as preceptor in direct..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Dover Delaware Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ..
... assessments and evaluations, to coordinate services and address member short term ... members related to MCO requirements, services, and benefits. Provides members with ... referrals to community resources. Coordinates..
Job Information Humana Contract Tools, Education, Processes Professional - Louisville, KY or Remote (EST hours) in Dover Delaware Description The Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and ..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Dover Delaware Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to lead ..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Dover Delaware Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural ..
... value people who contribute to patient-centered care that enhances community health; ... and with outpatients to enhance patient care and comfort by providing ... healing environments, collaborating with the..
... expertise and encouragement. Enhance each patient's future-as well as your own. ... the implementation and evaluation of patient care. Responsible for reporting and ... timely manner. PRINCIPAL RESPONSIBILITIES AND..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Dover Delaware Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..