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Description The Medical Coding Coordinator 3 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 ..
Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for final distribution all medical records ..
Description The Network Operations Coordinator contributes to the provider experience by managing the accuracy of the provider data within the health plan networks. The Network Operations Coordinator 4 assumes ownership and ..
Description The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Representative 3 performs advanced administrative/operational/customer support duties that require ..
Job Information Humana Technical Product Manager - Remote in Brentwood Tennessee Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to lead, plan and track all phases of ..
Job Information Humana UM Administration Coordinator 2 - Work at Home ... (Thursday-Monday Schedule) The UM Administration Coordinator 2 contributes to administration of ... utilization management. The UM Administration Coordinator..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. Responsibilities The Utilization Management Nurse 2/Home Health ..
Description The Network Operations Coordinator 4 maintains provider relations to ... service operations. The Network Operations Coordinator 4 assumes ownership and leads ... judgment. Responsibilities The Network Operations Coordinator 4..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Brentwood Tennessee Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Description Humana's Corporate Communications organization is seeking a Senior Corporate Communications Professional to join the Content team. As the Senior Corporate Communications Professional, you will develop compelling content and communications programs ..
Description The Integrated Model for D-SNP team is focused on delivering an integrated member experience through a multidisciplinary team. Focused on the highest risk D-SNP members, this team coordinates both inbound ..
Job Information Humana Senior Compliance Professional (PBM & Pharmacy) in Brentwood Tennessee Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex ..
Under the Capitol Music Group umbrella of UMG, Capitol Christian Music Group is the market leader in the field of recorded music, distribution, and music publishing. Employing over 150 people, Capitol ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. Responsibilities The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate ..
Job Information Humana Senior Product Manager - Clinical Strategy and Analytics in Brentwood Tennessee Description We are looking for a dynamic Senior Product Manager to develop clinical solutions for our members ..
Description The UM Compliance Letters Specialist/Coordinator 2 contributes to administration of utilization management in the Compliance department. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..
Job Information Humana UM Administration Coordinator 2 - Part Time - Work at Home (Friday-Sunday Schedule) in Brentwood Tennessee Description (Friday - Sunday Schedule) The UM Administration Coordinator 2 contributes to ..
Job Information Humana Administrative Coordinator in Brentwood Tennessee Description The ... Brentwood Tennessee Description The Administrative Coordinator (Business Support Coordinator) follows established procedures and guidelines ... Service Fund. The Business..
Description As a company whose primary focus is on the well-being of its members, Humana is dedicated to shifting perceptions of the health insurance industry. We believe our role goes beyond ..
... Information Humana Utilization Management Administration Coordinator in Brentwood Tennessee Description The ... Tennessee Description The UM Administration Coordinator 2 contributes to administration of ... hiring for a UM Administration..