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Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..
Coding Specialist We have exciting employment opportunities ... Position Summary The HIM Coding Specialist will handle medical coding and ... Technician (RHIT) with AHIMA Coding Specialist Professional (CCA-P) (AHIMA) or..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
... 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 FP&A Lead, Medicaid Market in Pittsburgh Pennsylvania Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Pittsburgh Pennsylvania Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..
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Job Location Pittsburgh Area - Pittsburgh, PA Position Type Part Time Salary Range $15.00 - $17.00 Hourly Let what you love be what you do. Become an On-Call Fitness Specialist and ..
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 Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..
Job Information Humana Pharmacy Technician Networks Specialist, Remote PA or NJ in Pittsburgh Pennsylvania Description The Provider Contracting Administration Coordinator 2 supports the administration of the contracting function. The Provider Contracting ..
... 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..
Job Location Coraopolis, PA - 0600 - Coraopolis, PA Position Type Part Time Salary Range $17.00 - $18.00 Hourly There's a spot on our team waiting for you! Become a Part-time ..
Description The Medical Records Retrieval Representative travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. Responsibilities The ..
Job Location Canonsburg, PA - 5650 - Canonsburg, PA Position Type Full Time Salary Range $36,000.00 - $36,500.00 Salary/year There's a spot on our team waiting for you! Become a Team ..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
Job Location Coraopolis, PA - 0600 - Coraopolis, PA Position Type Full Time Salary Range $39,000.00 - $41,000.00 Salary/year There's a spot on our team waiting for you! Become a Recreation ..
We may not have an open position currently - but you are welcome to submit your application for Environmental Services Aides and be considered for future open opportunities. General Summary: The ..
Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..