Healthcare Operations Jobs in Riverton

Description The Supervisor, Inbound Contacts represents the company by addressing incoming telephone, digital, or written inquiries. The Supervisor, Inbound Contacts works within thorough, prescribed guidelines and procedures; uses independent judgment requiring ..

Description The Inbound Contacts Representative 4 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 4 assumes ownership and leads advanced and highly specialized administrative/operational/customer ..

Description The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ..

... 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 Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Riverton Wyoming Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ..

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

Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..

Description The Wellness Coach 2 supports health promotion and disease prevention and care management services. The Wellness Coach 2 work assignments are varied and frequently require interpretation and independent determination of ..

... collaboration with Encounters, Finance and Operations teams, the Medicaid Encounters Lead ... Qualifications Bachelor's degree in a healthcare field or equivalent experience. 5 ... years of experience in managed..

Description The Network Operations Coordinator 3 manages provider data including but not limited to demographics and contract accuracy. Additional Information - How we Value You Benefits starting day 1 of employment ..

Description Care Management Analytics is looking for an Associate Director of Data Science to lead a team of data scientists who building machine learning models and run advanced analyses to drive ..

Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..

Job Information Humana Manager, Care Management Social Services-WAH Nationwide in Riverton Wyoming Description Job Description Summary The Manager, Care Management leads teams of social work and social service professionals responsible for ..

Job Information Humana Medicare/Medicaid Program Manager -- Remote in Riverton Wyoming Description Humana's Enterprise Shared Services organization is seeking an outstanding cross-functional program leader to join its Business Management team. This ..

Description The Senior Value-Based Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Analyst works on problems of diverse ..

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 The Senior Market Development Professional provides support to assigned health plan(s) relative to Behavioral Health RFPs, product implementations and operational support. The Senior Market Development Professional work assignments involve moderately ..

... Director for the Humana Clinical Operations Behavioral Division is looking for ... social determinants and obtaining timely healthcare. The Lead Medical Director provides ... of services provided by other..

Job Information Humana Nurse Advice Line Telephonic Nurse - RN Compact License States Only in Riverton Wyoming Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and ..

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 ..

Description The Technology Solutions Principal works across technology and business (both strategy and operations) teams to build an effective strategy for executing and delivering on combined initiatives. The Technology Solutions Principal ..

Description The Wellness Coach 2 supports health promotion and disease prevention and care management services. The Wellness Coach 2 work assignments are varied and frequently require interpretation and independent determination of ..

Job Information Humana Nurse Advice Line Telephonic Nurse - Remote- RN Compact License States Only in Riverton Wyoming Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses ..