Payment Compliance Jobs in Campbell

Job Information Humana Senior Learning Facilitation Professional-Remote in US in Campbell California Description Job Description Summary The Senior Learning Facilitation Professional conducts or facilitates training courses for organization employees or external ..

Job Information Humana Learning Facilitation Professional 2- Remote in US in Campbell California Description The Learning Facilitation Professional 2 conducts or facilitates training courses for organization employees or external audiences. The ..

Job Information Humana Learning Design Professional 2- Remote in US in Campbell California Description The Learning Design Professional 2 uses instructional design, cognitive psychology and adult learning theory to determine the ..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

Job Information Humana Storage Administrator- Storage and Backup in Campbell California Description At Humana we are committed to helping people live healthy and happy through personalized care. Following the same mantra, ..

Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and risk mitigation in implementing Humana's Provider Medicaid operational business. The Associate ..

Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..

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 ..

Job Information Humana Quality Improvement Coordinator in Campbell California Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The ..

Description The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, ..

Description The Claims Educator is responsible for ensuring prompt and accurate provider claims processing of original claims, resubmissions, and overall adjudication of claims. The Claims Educator manages claims operations that involve ..

Job Information Humana Sr. DevOps Cloud Engineer in Campbell California Description Do you thrive on working on leading edge technology such as AKS and Kubernetes? Do you embrace the DevOps workstyle ..

... business partners. These processes support compliance initiatives, new contracting strategies, and ... performance, business case realization, or compliance. Provider Process also supports business ... Group (PPG), Service Fund, Directories,..

Job Information Humana Senior Market Development Professional in Campbell California Description The Senior Behavioral Health Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicaid product ..

Description Introduction The 3rd Party Segment Lead will execute and lead a team of risk professionals in conducting cyber and regulatory-driven assessments and oversight of key 3rd Parties across designated business ..

Description The Senior IT Compliance Professional audits the most complex ... information systems procedures are in compliance with corporate standards. The Senior ... corporate standards. The Senior IT Compliance Professional..

Description Would you like to be a member of the information security team serving the J.D. Power #1 ranked U.S. mail order pharmacy for the last 4 years in a row? ..

Description The Lead Systems Engineer is responsible for design, analysis, configuration and maintenance of complex systems software solutions, based on a thorough knowledge of systems engineering and programming concepts and techniques. ..

Job Information Humana Associate Director, Provider Data Interoperability in Campbell California Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..

Description The Cloud Architect 2 leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. The Cloud Architect 2 work assignments are varied and frequently require ..

Job Information Humana Director, Care Delivery and EMR/EHR Technology in Campbell California Description The Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives specific to ..

Job Information Humana Compliance Prof 2/Process and Market Support- Remote in US in Campbell California Description Do you crave new challenges and solving problems? Are you looking for an opportunity to ..

Job Information Humana Senior Cloud Security Engineer (virtual remote) in Campbell California Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..