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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..
Job Information Humana Senior Provider Contracting Professional - Remote ... in Lima Ohio Description The Senior Provider Contracting Professional initiates, negotiates, ... Professional initiates, negotiates, and executes physician, hospital, and/or..
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 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). ..
Description Senior Compliance Professional ensures compliance with ... to Medicaid State reporting. The Senior Compliance Professional work assignments involve ... of variable factors. Responsibilities The Senior Compliance Professional researches compliance..
Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to ..
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 ..
Description Humana Healthy Horizons is seekign a Utilization Management Nurse 2 who utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The ..
