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JOB SUMMARY Make the most of your clinical skills at an organization that has earned numerous awards for clinical excellence. Based in Roanoke, VA, our community-based health care organization encompasses a ..
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 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. ..
Job Information Humana Actuary, Risk and Compliance in Glen Allen Virginia Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare ..
YOUTH SERVICES SPECIALIST I Recruitment #22-116-3675 Date Opened ... seeking a qualified Youth Services Specialist I. The successful candidate will ... for the welfare, safety, and security of the youth..
Job Information Humana Senior Contract Tools, Education, Processes Professional - Remote in Glen Allen Virginia Description The Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and protocol, case ..
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 ..
Medical Records Specialist II Job Locations US-VA-Arlington Requisition ID 2022-23825 # of Openings 1 Category (Portal Searching) Operations Overview Main responsibilities will incude: Processing mailed and faxed medical requests Utilize EMR ..
(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) Job Announcement This position is located at Stepping Stones, formerly ..
Job Description A healthcare facility in Virginia is in need of a Radiation Therapist to join its Radiation Oncology team of 6 other therapists. The make-up of the center is 7 ..
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 ..
Job Information Humana Clinical Pharmacy Lead, Remote in Glen Allen Virginia Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive ..
Medical Records Specialist I Job Locations US-VA-Arlington Requisition ID 2022-23804 # of Openings 2 Category (Portal Searching) Operations Overview This is an entry level position responsible for processing all release of ..
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 ..
Job Information Humana FP&A Lead, Medicaid Market in Glen Allen Virginia Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..
Medical Records Specialist I (On-site) Job Locations US-VA-Arlington Requisition ID 2022-23809 # of Openings 3 Category (Portal Searching) Operations Overview This is an entry level position responsible for processing all release ..
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 ..
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 ..
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 ..
... team to include Behavioral Health Specialist I, Behavioral Health Specialist II, Behavioral Health Senior Clinician, ... Treatment Practitioner or Clinical Nurse Specialist. CERTIFICATES AND LICENSES REQUIRED: Valid ... Treatment..