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Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Programs Analyst works on problems ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Lima Ohio Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
Job ID 21000LQSAvailable Openings 1PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
Description The Healthcare Financial Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The East Central Region is seeking a Healthcare ..
Description The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health provider contracts under the Ohio Medicaid program. The Provider Contracting Professional 2 communicates contract terms, payment structures, and reimbursement ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Lima Ohio Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
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 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 ..
Join a great Ohio practice located just south of Findlay and within easy reach of Dayton, Toledo, Cincinnati and Cleveland. Imagine a low cost of living, affordable housing, and $450,000 in ..
Job Information Humana Corporate Strategy Consultant in Lima 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 for ..
Job ID 21000LQSAvailable Openings 1Position Specific Information This role is full-time with beneifits, 30 hours per week during normal business hours. PURPOSE AND SCOPE: Provides psychosocial services to patients treated by ..
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 ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Lima Ohio Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Lima Ohio Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
Job Information Humana Provider Contracting Professional 2 - OH Medicaid in Lima Ohio Description The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health provider contracts under the Ohio Medicaid ..
Job Information Humana Senior Corporate Strategy Analyst in Lima 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 ..
Job Information Humana Senior Provider Contracting Professional - OH Medicaid in Lima Ohio Description The Senior Provider Contracting Professional initiates, negotiates, and executes behavioral health physician, hospital, and/or other provider contracts ..
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 Coding ..
Job Information Humana Corporate Strategist in Lima 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 the ..