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Description The Clinical Programs Pharmacy Technician 2 integrates programs developed to improve overall health outcomes with a focus on prescription drugs. The Clinical Programs Pharmacy Technician 2 performs varied activities 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 ..
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 ..
Job Information Humana Care Manager, Telephonic Nurse 2/ Adult and Pediatric Sickle Cell Disease - NORTH FL Counties in Tallahassee Florida Description The Care Manager, Telephonic Nurse 2 , in a ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Tallahassee Florida Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana Contract Tools, Education, Processes Professional - Louisville, KY or Remote (EST hours) in Tallahassee Florida Description The Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and ..
Job Information Humana OB Care Management Support Assistant 2/Medicaid (Bilingual English/Spanish or Creole) Remote FL in Tallahassee Florida Description The Care Management Support Assistant 2 contributes to administration of care management. ..
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 ..
Job ID 21000L1TAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
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 Manager, Fraud and Waste-Remote US in Tallahassee Florida Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
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 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 ..
Job Information Humana Nurse Auditor 2-Remote/Virtual in US in Tallahassee Florida Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Tallahassee Florida Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
Job Information Humana Care Coach 1 - Leon/Madison/Taylor County, FL in Tallahassee Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Tallahassee Florida Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana Care Manager, Onsite / Telephonic Nurse 2/ Adult and Pediatric Sickle Cell Disease - NORTH FL Counties in Tallahassee Florida Description The Care Manager, Telephonic Nurse 2 , ..
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 ..
POSITION FEATURES:Dialysis experience Patient Care Technician with a CCHT will be awarded a $3,000 Sign-on bonus.No dialysis experienced required. Training Provided.About this role: As a Patient Care Technician (PCT) at Fresenius ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Tallahassee Florida Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..