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Description Humana Healthy Horizons in Ohio is seeking Managers of Care Management (Physical Health & Behavioral Health) who will lead our physical or behavioral health care management operations and staff..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work..
Description Humana Health Horizons in Ohio is seeking Field Care Managers, Behavioral Health 2 who will assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state..
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...
Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions...
Job Information Humana Quality Improvement Coordinator in Springfield Ohio Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program...
PURPOSE AND SCOPE:Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance..
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..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the..
Description Humana Healthy Horizons is seeking a Pre-Authorization Nurse 1 who will review prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forwards..
Description The Associate Director, Full Stack Engineering Performs software engineering activities in all layers of the stack, from setting up the database to programming in the back-end and the appearance..
Job Information Humana Senior Corporate Strategy Analyst in Springfield Ohio Description Humana's Corporate Stragtegy team is a high-performing organization that works closely with Humana's senior leaders to help chart the..
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..
Job Information Humana Corporate Strategist in Springfield Ohio Description Humana's Corporate Strategy team is a high-performing organization that works closely with Humana's senior leaders to help chart the course for..
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..
Job Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in Springfield Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity,..
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..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty..
Job Information Humana Care Manager, Registered Nurse, RN in Springfield Ohio Description Humana Healthy Horizons in Ohio is seeking a Field Care Manager to assess and evaluate member's needs and..
Description The Lead Cloud Architect leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. The Lead Cloud Architect works on problems of diverse scope..
Job Information Humana Corporate Strategy Consultant in Springfield Ohio Description Humana's Corporate Stragtegy team is a high-performing organization that works closely with Humana's senior leaders to help chart the course..
Description The HIM Tech IV assigns appropriate codes/modifiers to claims per documentation obtained from the medical record. Assists in ensuring billing charges are captured in an appropriate manner. Identifies, analyzes..
