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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 ..
... hours as-needed. The On-Call Scheduling Specialist performs varied activities and moderately ... of the branch, the Scheduling Specialist may be responsible for part ... Preferred Qualifications Bachelor's Degree in..
... Qualifications 2 plus years of healthcare experience Prior experience in Fraud, ... or Master's Degree in Business, Healthcare Administration or related field Managed ... TRICARE or other Federally regulated..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Albany New York Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..
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 Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..
... 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 Locations: US-Virtual/Remote Category: Medical Coding Are you interested in joining one of the nation’s leading providers of medical coding services that is experiencing impressive year-over-year growth? Mommy Jobs Online is ..
... major impact on the health technology industry. The Lead Technology Leadership Professional is responsible for ... delivery and performance. The Lead Technology Leadership Professional works on problems ... to..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
Job Information Humana Actuary, Risk and Compliance in Albany New York Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare ..
... aptihealth team is comprised of healthcare, data science and technology experts passionate about transforming behavioral ... experts passionate about transforming behavioral healthcare. aptihealth is a digital technology platform with..
Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Albany New York Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review ..
Job Information Humana Senior Contract Tools, Education, Processes Professional - Remote in Albany New York Description The Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and protocol, case ..
Job Information Humana FP&A Lead, Medicaid Market in Albany New York Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..
Job Information Humana Clinical Pharmacy Lead, Remote in Albany New York Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive ..
... We are the future of healthcare and our mission is to ... will help members through their healthcare journey, ensuring they get the ... opportunity to help shape the..
Admin / Clerical (188) Advanced Practice Registered Nurses / Physician Assistants (339) Allied Health (3185) Executive (81) Operations (252) Physicians/Surgeons (1354) Quality/Risk Management (19) Type Contract (1) Fellowship (0) Full Time ..
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 ..
... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..
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 ..
