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We have exciting employment opportunities for remote HIM Coding Specialists on our Outsource Coding Team. Position Summary The HIM Coding Specialist will handle medical coding and data entry / abstraction for ..
Job ID 21000MNQAvailable Openings 1DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient’s future—as well as your own. Connect with ..
Job Information Humana Clinical Pharmacy Lead, Remote in Glen Allen Virginia Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive ..
Oncology Business Specialist -- Richmond, VA Do you want to be part of a team that works every day to develop innovative therapies for patients? Do you want to be part ..
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 ..
Job Information Humana Market President AVP - Virginia in Richmond Virginia Description Most competitive candidates will reside in the market (Tidewater or Richmond, VA) Reporting structure: Reports into Cheri Greenfield-LaTour, SVP ..
Job Information Humana Medical Director - Florida Medicaid in Glen Allen Virginia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
... 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 Information Humana UM Medical Director - Conviva in Glen Allen Virginia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that will ..
... 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..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
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 ..
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 ..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
Job Information Humana Medical Director - National Medicare Team in Glen Allen Virginia Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work ..
Description The Clinical Pharmacy Lead for Pharmacy trend will be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual ..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
Job Information Humana Medical Director - S. Florida in Glen Allen Virginia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Job Information Humana FP&A Lead, Medicaid Market in Glen Allen Virginia Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..