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Job Information Humana Healthcare Data Analyst in Louisville Kentucky Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. ..
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 ..
... techniques Understand what top Physician/APP talent looks like and know how ... know how to propel the talent within Care Delivery Organization Execute ... Care Delivery Organization Execute Humana's..
Job Information Humana Manager, Fraud and Waste-Remote US in Louisville Kentucky Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Job Information Humana Senior Consumer Service Operations Analyst-Remote KY, IN or WI in Louisville Kentucky Description The Senior Consumer Service Operations Professional is responsible for the daily activities across multiple service ..
Description The Manager, STARS Improvement develops, implements, and manages oversight of the company's Medicare Stars Program. This position will manage the Stars improvement team. Responsibilities The Manager, STARS Improvement develops the ..
Job Information Humana Senior Clinical Recruiter in Louisville Kentucky Description The Senior Clinical Recruiter recruits qualified applicants for staff nurse or other positions requiring registered nurse licensure, licensed practical nurse, or ..
Description Humana has an amazing opportunity for an experienced Talent Acquisition Professional. The VSP Senior Clinical Recruiter recruits and interviews prospective employees for hourly and salaried positions for our Primary Care ..
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). ..
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 ..
Job Information Humana Quality Improvement Manager - Remote KY in Louisville Kentucky Description The Manager, Quality Improvement implements quality improvement programs for the Kentucky Medicaid line of business. This includes 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 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 ..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Louisville Kentucky Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, and ..
... Pharmacist, Registered Nurse, other licensed healthcare professional 3 years of experience ... years of experience working on healthcare quality and performance measure improvement ... paced environment Certified Professional in..
Description Join Humana's Talent Acquisition organization to support our growing ... organization to support our growing Healthcare Services division! The Senior Physician ... techniques Understand what top Physician/APP talent looks..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Louisville Kentucky Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural ..
... and future staffing needs. Source talent, screen for fit, coordinate interviews, ... ensure successful implementation of the talent acquisition strategy. Achieve and maintain proficiency ... in high-volume recruitment, preferably..
Description Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Senior Product Marketing Professional to join the PCO's Field Marketing team. This is a remote role that will ..
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,..
Job Information Humana Pre-Authorization Nurse 1 - Remote KY in Louisville Kentucky Description The Pre-Authorization Nurse 1 reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and ..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Louisville Kentucky Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..
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 ..
