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Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Description The Fraud Investigation Technician 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud Investigation Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. ..
Description Responsibilities This role within the Autism Care Demonstration (ACD) Team, will work closely with Care Management leaders and Subject Matter Experts in the areas of Case Management, Utilization Management and ..
Job Information Humana Senior Contract Tools, Education, Processes Professional - Remote in Indianapolis Indiana Description The Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and protocol, case studies, ..
Job Information Humana FP&A Lead, Medicaid Market in Indianapolis Indiana Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
Job Information Humana Actuary, Risk and Compliance in Indianapolis Indiana Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare Advantage ..
Work type: Full Time Administrative Location: Indianapolis, IN Categories: Administrative/Professional General Description of Position: The Director of Counseling and Wellness Services (CWS) has the overall administrative and clinical responsibility for student ..
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 Clinical Pharmacy Lead, Remote in Indianapolis Indiana Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..
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 ..
**Company :**Gateway Health Plan**Job Description :****JOB SUMMARY**This job assigns codes (ICD-9, 10, CPT and HCPCS) which most accurately describe diagnosis, procedures and therapies according to established guidelines. The incumbent is accountable ..
Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual to contribute to a high performing team that ..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
... Durham, North Carolina NEW! NEW! Security Officer I Part Time Days ... Health Nashville, Tennessee NEW! NEW! Security Officer II AdventHealth Tampa, Florida ... AdventHealth Tampa, Florida NEW! NEW!..
Job Information Humana Senior Provider Contracting Professional - TRICARE Behavioral Health in Indianapolis Indiana Description Responsibilities The position will provide corporate support to the Director of Provider Contracting and is responsible ..
