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... 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 Senior Clinical Recruiter in Pittsburgh Pennsylvania Description The Senior Clinical Recruiter recruits qualified applicants for staff nurse or other positions requiring registered nurse licensure, licensed practical nurse, or ..
Job Information Humana Digital Channel Sales Strategy And Transformation Lead - Louisville, KY or Remote in Pittsburgh Pennsylvania Description The Digital Channel Sales Strategy and Transformation Lead enhances the consumer experience ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Pittsburgh Pennsylvania Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Pittsburgh Pennsylvania Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, 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 ..
... 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 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 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 ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Pittsburgh Pennsylvania Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
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 Medical Records Retrieval Representative travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. Responsibilities The ..
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 ..
Job Information Humana Manager, Fraud and Waste-Remote US in Pittsburgh Pennsylvania Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Pittsburgh Pennsylvania Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
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 Medical Coding Coordinator 3- Remote USA in Pittsburgh Pennsylvania Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Pittsburgh Pennsylvania Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation 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 Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Pittsburgh Pennsylvania Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ..
Job Information Humana Medical Records Retrieval Representative - Philadelphia in Pittsburgh Pennsylvania Description Philadelphia The Medical Records Retrieval Representative/Risk Adjustment Representative 2 travels to provider offices within the region and scans ..