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Description The Senior Compliance Professional will help to reach compliance program objectives by ensuring compliance with governmental regulations and laws, assessing risks and providing guidance to business areas. Responsibilities The Senior ..
Description Responsibilities The Telephonic Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Job Information Humana Senior Provider Contracting Professional in Riverton Wyoming Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization ..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Riverton Wyoming Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ..
Job Information Humana Manager, Utilization Management RN - Remote in Riverton Wyoming Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical ..
Description The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Provider Contracting Professional 2 work assignments are varied and frequently require interpretation ..
Description The Wellness Coach 2 supports health promotion and disease prevention and care management services. The Wellness Coach 2 work assignments are varied and frequently require interpretation and independent determination of ..
Coverage:HospitalistDates:March/April StartCredentialing takes 30-45 daysWork Schedule: 10 shifts per month needed days 7a-7p then call 7p-7a: phone triage. 1-3 calls per night. Physician sometimes will return to the hospital specifically with ..
Job Information Humana Telephonic Care Manager in Riverton Wyoming Description The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a comprehensive, holistic approach for Behavioral ..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Riverton Wyoming Description Humana is looking for an experienced Healthcare Investigator to join its industry ..
Locum Hospitalist needed for Day shift and call at night.-Coverage: Hospitalist-Dates: March/April Start-Credentialing takes 30-45 days-License: Prefer WY license. Will review candidates who -need WY license-Work Schedule: 10 shifts per month ..
Job Information Humana Director, Provider Contracting - Behavioral Health Medicaid in Riverton Wyoming Description The Director, Provider Contracting - Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider ..
Job Information Humana Care Manager, Telephonic Nurse 2-WAH-CT and MT in Riverton Wyoming Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Riverton Wyoming Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the ..
Job Information Humana Oncology Market Director in Riverton Wyoming Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to Humana ..
Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Riverton Wyoming Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..
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 ..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Riverton Wyoming Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives that ..
Description The Data and Reporting Professional II 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 ..