Healthcare Risk Manager Jobs

Job Information Humana Value-Based Strategies -- CMS Programs Provider Engagement Lead in Honolulu Hawaii Description Value-Based Strategies - CMS Programs Provider Engagement Lead will support Humana through successful participation in CMS/CMMI ..

Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding ..

Description As the Associate Director, IT Project Management, you will use your background and experience in program management to lead and manage a team of PMO professionals that support the delivery ..

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Honolulu Hawaii Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..

Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Honolulu Hawaii Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, and ..

Job Information Humana Medical Director of Trend Analytics in Honolulu Hawaii Description Humana's ECM organization is seeking a Medical Director of Trend Analytics. As a clinical trend leader you will support ..

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Honolulu Hawaii Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..

Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..

Description The Provider Services Market Rollout Senior Professional provides support to the implementation of Humana's provider support model in new and existing Medicaid markets. This position partners cross-functionally on matters of ..

Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Honolulu Hawaii Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..

... As the Registered Nurse Case Manager, you would ensure the considerate ... confidential management of unique and high-risk patient cases by performing case ... needs interviews, planning/coordination for high..

Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... implement change, while mitigating operational risk. The..

Job Information Humana Senior Product Management Professional in Honolulu Hawaii Description The Senior Product Management Professional must be able to lead, plan and track all phases of the product life cycle, ..

Job Information Humana Technical Product Manager - Remote in Honolulu Hawaii ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..

... Humana Telephonic Behavioral Health Care Manager in Honolulu Hawaii Description The ... Description The Behavioral Health Care Manager, in a telephonic environment, assesses ... members. The Behavioral Health Care..

... issues lists, project plans, and risk management plans. Negotiates with project ... (3) years of experience in healthcare quality. Understanding of healthcare quality improvement strategies such as ... Model..

Job Information Humana Manager, Fraud and Waste-Remote US in ... in Honolulu Hawaii Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

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 ..

... Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in ... in Honolulu Hawaii Description The Risk Management Professional 2 identifies and .....

Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward resources appropriate for the ..

Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Honolulu Hawaii Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..

Job Information Humana Medical Coding Coordinator 3- Remote USA in Honolulu Hawaii Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural ..

Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team uses advanced scientific techniques, ..