Representative Jobs

Job Information Humana Contract Tools, Education, Processes Professional - Louisville, KY or Remote (EST hours) in Kansas City Missouri Description The Contract Tools, Education, Processes Professional builds templates, standard documentation, policy ..

Job Information Humana Contract Tools, Education, Processes Professional - Louisville, KY or Remote (EST hours) in Kansas City Kansas Description The Contract Tools, Education, Processes Professional builds templates, standard documentation, policy ..

Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Kansas City Missouri Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ..

Job Information Humana Manager, Fraud and Waste-Remote US in Kansas City Missouri Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..

Job ID 210009XSAvailable Openings 2PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..

Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Kansas City Missouri Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Kansas City Kansas Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..

Job Information Humana Manager, Fraud and Waste-Remote US in Kansas City Kansas Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud 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 and PCS) to patient records. The Medical ..

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Kansas City Missouri Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..

Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Kansas City Kansas Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..

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 reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The East Central Region is seeking a Healthcare ..

POSITION FEATURES:-Entry level dialysis Biomedical Technician-Experience not necessary, will train the right candidate-Electrical, mechanical, HVAC experience a plus-Competitive wages and advancement opportunitiesAbout this role: As a Biomedical Technician with Fresenius Medical ..

Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 175 centers across eight states under two ..

Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Kansas City Kansas Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ..

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 Inpatient Medical Coding Auditor-Remote/Virtual in US in Kansas City Kansas Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Kansas City Missouri Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..

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 ..

PURPOSE AND SCOPE: The Inpatient RN provides direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals' policies and procedures.  Areas of practice ..

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). ..

Job Information Humana Nurse Auditor 2-Remote/Virtual in US in Kansas City Kansas Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for ..