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Job Information Humana Utilization Management Nurse 2-Remote in Charleston West Virginia Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..
We welcome you to apply if interested! You will be asked to create an account, which takes less than one minute and requires only a username and password. The entire application ..
... Engineering maintains, integrates and implements software applications within the organization. The ... Site Reliability Engineering that: Coordinates software application testing, quality assurance, configuration, ... and timely implementation of new..
... fields or industries such as software development, engineering, IT, and a ... with constant change Computer science, software development, and/or engineering knowledge Experience ... engineering knowledge Experience application of..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
... better care. We employ modern software development technologies, such as Agile ... mission of supporting the TRICARE healthcare program for our nation's military. ... Senior Cloud Services Engineer utilizes..
Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain high quality ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
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 Senior Value-Based Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Analyst works on problems of diverse ..
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 ..
Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Humana's Wisconsin Medicaid Market ..
... fields or industries such as software development, engineering, IT, and a ... with constant change Computer science, software development, and/or engineering knowledge. Experience ... engineering knowledge. Experience application of..
Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
... Director, Full Stack Engineering Performs software engineering activities in all layers ... for one of the leading healthcare organizations. Reporting to Director of ... by delivering personalized, simplified, whole-person..
Job Information Humana Director, Informatics in Charleston West Virginia Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights ..
Job Information Humana Senior Data Engineer in Charleston West Virginia Description Responsibilities Senior Data Engineer Job Description Summary The Senior Data Engineer Designs, builds, and maintains data processing architectures and solutions ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Charleston West Virginia Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..
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 Data and Reporting Professional II generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..
Job Information Humana Senior Copy Writer in Charleston West Virginia Description Humana's The Hive is looking for a Senior Copy Writer to join the team! The Hive is Humana's in-house agency, ..