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Job Information Humana Manager, Fraud and Waste-Remote US in ... Huntington West Virginia Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
... Information Humana RN, Field Care Manager 2 - Maternity, L&D, Mother ... seeking a RN Field Care Manager 2 with Maternity, L&D, Mother ... optimal wellness. The Field Care..
... meetings Required Qualifications Experience in healthcare, healthcare investigations, and/or risk management Supervisory ... Master's degree in Law, Business, Healthcare, or related field Extensive knowledge ... be using an exciting..
... members. Responsibilities The Field Care Manager, Behavioral Health 2 work assignments ... a Care Management Entity. Care Manager Plus serves as the single ... Position Responsibilities: The Field Care..
Description The Care Management Support Assistant 2 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 ..
Job Information Humana Care Coach - Kentucky Medicaid in Huntington West Virginia Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state ..
... unique opportunity to build a technology team from the ground-up leading ... for one of the leading healthcare organizations. Reporting to Director of ... you will solve for the..
... Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in ... seeking a RN Field Care Manager 2 with Maternity, L&D, Mother ... optimal wellness. The Field Care..
Description Humana Healthy Horizons is seeking a Pre-Authorization Nurse 1 who will review prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forwards requests ..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
... years' experience working in the healthcare setting. Minimum two (2) years ... management. For Behavioral Health, C.M. Manager Only: Must have a Child ... or related field. Certified Case..
Description Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional to join our team. The Utilization Management (UM) Behavioral Health (BH) Professional utilizes behavioral health knowledge and ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
