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Description The Payment Integrity Professional 2 uses technology and data ... financial recovery. The Payment Integrity Professional 2 work assignments are varied ... medical coding reviewer to handle provider disputes..
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Description The Director, Provider Reimbursement is responsible for the ... and execution of Humana Military's provider reimbursement methodologies. This leader is ... prospective payment system software, and provider-specific reimbursement factors..
Description The Provider Contracting Professional 2 initiates, negotiates, and executes ... executes physician, hospital, and/or other provider contracts and agreements for an ... that provides health insurance. The Provider Contracting..
Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term ... the health plan. The Senior Provider Engagement, Clinical Professional work assignments involve moderately complex ... variable factors...
Description The Provider Contracting Professional initiates, negotiates, and executes physician, ... executes physician, hospital, and/or other provider contracts and agreements for an ... that provides health insurance. The Provider Contracting..
Description Responsibilities The Compliance Professional 2 has responsibilities for performing ... beneficiaries' session notes to the provider's claims to determine whether all ... local team as needed for provider education..
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, CPT) to patient records. The Medical Coding ..
Description The Senior Value-Based Programs Professional supports successful value-based provider relationships with a focus on ... a focus on improving the provider experience and achieving path-to-value goals. ... goals. The..
... Specialty Load Team, the Senior Provider Installation Professional will work directly with our ... with our national and market contracting teams to influence specialist contract ... with Service Fund..
Description Responsibilities This position will maintain the Humana Military ACD website Autism Center of Excellence (CoE); ensuring educational information is current and relevant to training needs in addition to analyzing and ..
... Senior Contract Tools, Education, Processes Professional - Remote in Anchorage Alaska ... Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy ... Senior Contract Tools, Education, Processes..
Description Responsibilities The Autism Care Demonstration (ACD) Senior Learning Design Professional analyzes content, organizes content, designs solutions, and writes storyboards, scripts, performance support, newsletters and notification letters. Analyzes learning needs and ..
Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Anchorage Alaska Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
... The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge ... The Utilization Management Behavioral Health Professional 2 work assignments are varied ... The Utilization Management Behavioral Health..
Description The Provider Contracting Professional 2 initiates, negotiates, and executes ... initiates, negotiates, and executes dental provider contracts and agreements for an ... that provides health insurance. The Provider Contracting..
... Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home ... Description The Senior Process Improvement Professional analyzes, and measures the effectiveness ... improvements. The Senior..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Anchorage Alaska Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Anchorage Alaska Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana Provider Contracting Professional - Behavioral Health in Anchorage ... in Anchorage Alaska Description The Provider Contracting Professional 2 initiates, negotiates, and executes ... health physician, hospital, and/or..
Job Information Humana Senior Provider Installation Professional (Service Fund) (Remote) in Anchorage ... organization is looking for Senior Provider Installation Professional to join the team working ... in the US...
Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... executes physician, hospital, and/or other provider contracts and agreements for an ... provides health insurance. The Senior Provider..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Anchorage Alaska Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ..