Healthcare Documentation Analyst Jobs in Riverton

Job Information Humana Assoicate Actuary, Pricing MA-PD Medicare Advantage Prescription Drug-2 in Riverton Wyoming Description The Associate Actuary role is a newly created role within the Senior Products Actuarial Medicare Advantage ..

Job Information Humana Associate Actuary, Pricing Medicare Advantage Prescription Drug in Riverton Wyoming Description The Associate Actuary role is a newly created role within the Senior Products Actuarial Medicare Advantage Prescription ..

Job Information Humana Actuary, Analytics/Forecasting in Riverton Wyoming Description The Actuarial Product Manager manages the ecosystem of actuarial tools, models, and methodology for a focused yet complex subset of the Individual ..

Job Information Humana Senior Data Engineer in Riverton Wyoming Description Responsibilities Senior Data Engineer Job Description Summary The Senior Data Engineer Designs, builds, and maintains data processing architectures and solutions enabling ..

... Communicate with and provide clear documentation to other departments on issues ... Qualifications Bachelor's degree in a healthcare field or equivalent experience. 5 ... years of experience in managed..

Job Information Humana Strategy Advancement Lead - Humana at Home Care Management Team- WAH Nationwide in Riverton Wyoming Description About Humana Care Management: Are you passionate about the influencing strategy focused ..

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 ..

... any barriers to obtaining appropriate documentation. Complete required audits of clinical ... necessary education and improvements in documentation. Review pend queues for referral ... Qualifications BCBA (Board Certified Behavior..

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 ..

... Qualifications Bachelor's degree in Business, Healthcare, or related field. 5 years ... their home. We are a healthcare company committed to putting health ... all CDC protocols, OR Provide..

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 ..

... 5 or more years of healthcare policy experience including a track ... research, and resource development supporting healthcare policy and for translating information ... of innovative, high quality government..

Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with accreditation standards across multiple operational areas within Humana. Responsibilities ..

Job Information Humana Senior Project Manager -- Remote in Riverton Wyoming Description The Senior Project Manager manages all aspects of a project, from start to finish, so that it is completed ..

Job Information Humana Finance M&A Integration Senior Professional (Remote) in Riverton Wyoming Description Humana's Finance Shared Services organization is looking for a Finance M&A Integration Senior Professional to drive best practices ..

Description The RN Clinical team is looking for a dynamic Registered Nurse to join the team working remote anywhere in the US or in Louisville, KY! We are looking for someone ..

Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Professional work assignments involve moderately ..

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 ..

Job Information Humana Humana at Home Partnerships Lead- WAH Nationwide in Riverton Wyoming Description The Clinical Business Lead builds and influences strategies for development, engagement, best practices and processes for Provider ..

... 3 years of experience managing Healthcare Quality programs OR 8 years ... their home. We are a healthcare company committed to putting health ... all CDC protocols, OR Provide..

Job Information Humana Senior Cloud Services Engineer in Riverton Wyoming Description Responsibilities Are you looking for an innovative way to utilize your cloud engineering skills in hybrid cloud environment and support ..

... 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..

... Processes Professional builds templates, standard documentation, policy and protocol, case studies, ... Qualifications Bachelor's Degree in Business, Healthcare Administration, Mathematics and/or related field ... implementation technical experience Medicaid experience..