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Description Humana's recently created Clinical Resource Team is looking to grow the team with an Inpatient Senior Medical Coding Auditor roles! This is a unique team that's primary role is to ..
Description The Senior Value-Based Programs Analyst supports successful ... and achieving path-to-value goals. The Senior Value-Based Programs Analyst works on ... perks for well-being Responsibilities The Senior Value-Based Programs Analyst..
Description The Senior Quality Improvement Professional will focus ... organization-wide culture of quality improvement. Senior Quality Improvement Professional work assignments ... perks for well-being Responsibilities The Senior Quality Improvement Professional..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in ... Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who ... company's Medicaid Stars Program. The Senior Stars..
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Job Information Humana Senior Compliance Registered Nurse in Charleston West Virginia Description Humana Healthy Horizons in Ohio is seeking a Senior Compliance Nurse. This position ensures mandatory reporting for Case Management ..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK ... is looking for an experienced Senior Healthcare Investigator to join its ... to join Humana's SIU. The Senior Fraud and..
Description The Physician Performance Insights team's mission is ... that enables objective evaluation of physician performance related to our two ... Responsibilities Humana is seeking a Senior Data Scientist (Senior..
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 ..
... company with deep and multi-faceted physician and provider relationships, the Office ... the Provider team seeks a Physician Strategy Lead who will lead ... key process domains: (1) seeking/gathering..
Job Information Humana Senior Contract Tools, Education, Processes Professional ... Charleston West Virginia Description The Senior Contract Tools, Education, Processes Professional ... best in class knowledge. The Senior Contract Tools,..
Description The Senior Value-Based Financial Analyst supports successful ... and achieving path-to-value goals. The Senior Value-Based Programs Professional works on ... perks for well-being Responsibilities The Senior Value-Based Financial Analyst..
Description The Senior Learning Design Professional uses instructional design, cognitive psychology and adult learning theory to determine the appropriate solution in order to conduct or facilitate training courses for organization employees ..
Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Charleston West Virginia Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the ..
Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Humana's Wisconsin Medicaid Market ..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Charleston West Virginia Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives ..
Job Information Humana Senior Provider Contracting Professional - Remote ... Charleston West Virginia Description The Senior Provider Contracting Professional initiates, negotiates, ... Professional initiates, negotiates, and executes physician, hospital, and/or..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Charleston West Virginia Description Humana is looking for an experienced Healthcare Investigator to join its ..
Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with accreditation standards across multiple operational areas within Humana. Responsibilities ..
Description The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior Utilization ..
Description The Senior Value-Based Analyst supports successful value-based ... and achieving path-to-value goals. The Senior Value-Based Analyst works on problems ... moderate to substantial. Responsibilities The Senior Value-Based Analyst advises..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..