Healthcare Risk Manager Jobs in Puerto Rico

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 ..

Description The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied ..

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..

Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Puerto Rico (Option to be Florida Based)!!rnOption to either live in Puerto Rico or Florida...rnFull-Time Opportunity, M-F 8am - 5pm type ..

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 UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in San Juan Puerto Rico Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, ..

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

Job Information Humana Medical Coding Coordinator 3- Remote USA in San Juan Puerto Rico Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns ..

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in San Juan Puerto Rico Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..

Job ID 21000I2GAvailable Openings 1Position Specific Information Part-Time 16 horas a la semanaPURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, ..

Job Information Humana Medicare/Medicaid Program Manager -- Remote in San Juan ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in San Juan Puerto Rico Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..

Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in San Juan Puerto Rico Description The Medical Coding Auditor extracts clinical information from a variety of medical records and ..

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, ..

Job Information Humana Senior Medical/Financial Risk Clinical Professional in San Juan ... Rico Description The Senior Medical/Financial Risk Clinical Professional is responsible for ... implementation and monitoring of medical/financial risk...

Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..

Job Information Humana Senior Product Management Professional in San Juan Puerto Rico Description The Senior Product Management Professional must be able to lead, plan and track all phases of the product ..

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 ..

Job Information Humana Medical Director of Trend Analytics in San Juan Puerto Rico Description Humana's ECM organization is seeking a Medical Director of Trend Analytics. As a clinical trend leader you ..

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 ..