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... expertise within the realm of Healthcare Quality operations and improvement methodology, ... a subject matter expert in healthcare quality measurement, best practices, and ... Assurance (NCQA), the Agency for..
Description The Senior Portfolio Management Professional collaborates with the business portfolio team to align the IT portfolio and demand. The Senior Portfolio Management Professional work assignments involve moderately complex to complex ..
Description The Senior Claims Research & Resolution Professional manages claims ... the organization. The Senior Claims Research & Resolution Professional work assignments ... Responsibilities Description The Senior Claims Research &..
Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
Job Information Humana Healthcare Strategy Consultant in Ridgeland Mississippi ... in Ridgeland Mississippi Description The Healthcare Strategy Consultant provides data-based strategic ... Responsibilities Humana, a Fortune 60 Healthcare Company Humana..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. Responsibilities The Utilization Management Nurse 2/Home Health ..
Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the ..
... is looking for an experienced Healthcare Investigator to join its industry ... other platform o Performing Investigative research and medical record reviews o ... areas Bachelor's degree or significant..
... Humana Lead Product Manager - Healthcare API in Ridgeland Mississippi Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
... implements Compliance policies and procedures, research issues and recommends changes that ... 5 or more years of healthcare revenue cycle management experience may ... with Auditing and monitoring of..
Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..
Job Information Humana Strategy Advisor, Healthcare Strategy in Ridgeland Mississippi Description ... Mississippi Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..
Description The Senior UX Research Professional performs data analysis supporting ... attitudinal data. The Senior UX Research Professional work assignments involve moderately ... factors. Responsibilities The Senior UX Research Professional..
... reducing waste and overuse of healthcare services, while encouraging high value ... Trend (CAT) team needs your healthcare, analytic, and research acumen to drive clinical opportunities ... have the..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Ridgeland Mississippi Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives that ..
RHEUMATOLOGIST200% MGMA Verified Rheumatology OpptyPRACTICE*Hospital Employed group structure*CLINIC ONLY*Great work schedule (4 Days / wk) (Open to altered schedule)*NO CALL*EPIC EMR*100% Rheumatology *Join 2 Rheumatologists*Full Benefits*Modern 600 bed hospital (Strong medical ..
Description Humana's Marketing Organization is seeking a Consumer Experience Professional to join the Market Research Loyalty & Advocacy Insights team. This enterprise team focuses on data analysis and generating insights from ..
... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... information obtained through business partners Research best practices and determine how ... a Bachelor's degree in Business,..
Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..
Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... leadership and external exposure with healthcare providers in OH,..
Description The Medical Record Retrieval Specialist (Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding ..