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Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..
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Job Information Humana Medicare Enrollment Representative 2 - Work at Home/Remote USA in Green Bay Wisconsin Description The Enrollment Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. The ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description Responsibilities This is a work at home position, Mon-Fri, 8am-5pm, with possible travel up 25%. The Senior Payment Integrity Professional contributes to overall cost reduction, by increasing the accuracy of ..
Description The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. Responsibilities Job ..
Description The Provider Installation Professional 2 administers the installation of assigned provider accounts. Performs set-up, database loading, and preparation of administrative documents and materials. The Provider Installation Professional 2 work assignments ..
Description The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. Responsibilities The ..
Description The Senior Telecomm/Voice Engineer is responsible for designing and implementing all or part of the organization's complex telecommunications infrastructure in line with pre-identified business needs and requirements. The Senior Telecomm/Voice ..
Job Information Humana Continuous Defense - Senior CyberSecurity Operations Center Engineer(remote virtual home office) in Green Bay Wisconsin Description Unique opportunity to be on the front lines of protecting a Fortune ..
Description The Senior Cloud Solutions Engineer is for Data engineering team / Data warehouse team. Candidate will support development and execution of cloud implementation strategy within organization's existing IT infrastructure. The ..
Description The Data and Reporting Lead generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The Data ..
Description The Business Intelligence Engineer 1 administers the installation of assigned provider accounts. Performs set-up, database loading, and preparation of administrative documents and materials. The Business Intelligence Engineer 1 performs advanced ..
Description The Bilingual Production Professional 2 produces of a wide range of print projects for external and internal audiences. The Bilingual Production Professional 2 work assignments are varied and frequently require ..
Description The Project Manager 2 manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Manager 2 work assignments ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
u003cpu003eu003cstrongu003eRole Summaryu003c/strongu003eu003c/pu003enu003cpu003eAnswer inquiries from beneficiaries, providers, and other affiliated representatives or groups regarding TRICARE eligibility, benefit determinations, and claims adjudication questions or problems.u003c/pu003enu003cpu003eu003cstrongu003eIn this role you will:u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eReceive telephone, written, fax, and ..
Description Humana is continuing to grow nationwide! We have several new Inbound Contact Representatives openings that will have the pleasure of taking inbound calls from our Medicare Members and provide excellent ..