Government Healthcare Jobs

Description The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..

... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... a Bachelor's degree in Business, Healthcare, or related field and/or 8 ... 5 years' experience in the..

Job Information Humana Medical Director - Florida Medicaid in Sandy Utah Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

Job Information Humana Medicare Appeals and Grievance Medical Director in Sandy Utah Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in Sandy Utah Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

... support advocacy efforts with state government officials and regulators (in partnership ... 5 or more years of healthcare policy experience including a track ... research, and resource development supporting..

Job Information Humana Medical Director - Texas in Sandy Utah Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to ..

Job Information Humana Utilization Management Registered Nurse - Remote in Sandy Utah Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..

... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..

Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Sandy Utah Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ..

Job Information Humana Data Manager / ETL Developer - Primary Care Organization in Sandy Utah Description The Data Manager 2 supports all aspects of configuration control, data management, and deficiency reporting. ..

Job Information Humana Telephonic Care Manager in Sandy Utah Description The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a comprehensive, holistic approach for Behavioral ..

Description The Accounting Lead performs general accounting activities, including the preparation, maintenance and reconciliation of ledger accounts and financial statements such as balance sheets, profit-and-loss statements and capital expenditure schedules. Conducts ..

Job Information Humana Regional Medicaid Business Development Vice President in Sandy Utah Description Responsibilities Humana's Regional Medicaid Business Development Leader will direct the field-based market development efforts and report directly to ..

Job Information Kindred at Home LPN, Home Health Full Time in Sandy Springs Georgia As a Home Health LPN , you will: Provide professional nursing services under the direction of a ..

Job Information Humana Manager, Utilization Management RN - Remote in Sandy Utah Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical ..

Job Information Humana UM Medical Director - Conviva in Sandy Utah Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

Job Information Humana Director, Informatics in Sandy Utah Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..

... 5 or more years of healthcare policy experience including a track ... research, and resource development supporting healthcare policy and for translating information ... otherwise Direct understanding of how..

Job Information Humana Senior Data Manager - Primary Care Organization in Sandy Utah Description The Senior Data Manager supports all aspects of configuration control, data management, and deficiency reporting. The Senior ..

Job Information Humana Senior Technology Implementation Professional (Remote-Nationwide) in Sandy Utah Description The Senior Technology Implementation Professional delivers new technological solutions to meet business needs within a specified scope while aligned ..

Job Information Humana Medical Director - National Medicare Team in Sandy Utah Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..