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Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as a whole. As ... a whole. As a senior-focused healthcare provider, and subsidiary of..
... for a Senior Business Systems Analyst to join working remote anywhere ... US! The Senior Business Systems Analyst performs analysis of business, process ... business, process and user needs,..
... Medicaid Quality Data and Reporting Analyst generates ad hoc reports and ... Medicaid Quality Data and Reporting Analyst will be responsible for the ... including the design, development, testing,..
... 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..
... patient records, and assembling the documentation into the legal medical record ... assisting in development of various documentation templates to support physician efficiency. ... data collection and analysis techniques;..
Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The Nurse ..
Description The Senior Compensation Professional develops, implements, and administers compensation programs. The Senior Compensation Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
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 ..
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 ..
... with physicians, other nurses and healthcare professionals to provide care, monitor ... and document all aspects of documentation Collaborate with other disciplines to ... is a national leader in..
Description Join Humana's Talent Acquisition organization to support our growing Healthcare Services division! The Senior Physician Recruiter recruits qualified physicians for medical staff and assists in development of strategic physician recruitment ..
... is looking for an experienced Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... areas Bachelor's degree or significant..
Description The Market Development Professional 2 provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development ..
MEDICAL DIRECTOR / 100% ADMINISTRATIVErnrnrnDescriptionrnrnrnrnMedical DirectorrnOverall Purpose:rnThe Medical Director is responsible for medical oversight of the Medical Management Program Description of organization regarding medical necessity decisions; utilization review, inclusive of prior ..
Job Information Humana Healthcare Services Senior Learning Design Professional-Remote ... variable factors. Responsibilities The HCS (Healthcare Services) Learning and Curriculum Senior ... job as we are a healthcare company committed..
Job Information Humana Strategy Advisor, Healthcare Strategy in Las Vegas Nevada ... Nevada Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..
... quality and completeness of clinical documentation processes by performing quality medical ... the improvement of the clinical documentation process, identifying trends, maintaining accurate ... local IRR audits Navigate multiple..
Job Information Humana Healthcare Strategy Consultant in Las Vegas ... Las Vegas Nevada Description The Healthcare Strategy Consultant provides data-based strategic ... Responsibilities Humana, a Fortune 60 Healthcare Company Humana..
... Humana Lead Product Manager - Healthcare API in Las Vegas Nevada ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
Job Description Position Summary ***Position to close once a sufficient number of applicants are received*** ** PER DIEM OPENINGS ** Position Summary: Independently performs complex and sophisticated laboratory analysis according to ..
... clinical suspects and appropriate clinical documentation and accurate coding. As a ... from actual experience of HCC documentation and coding audits, program implementation ... result in improved accuracy of..