Virtual Healthcare Jobs

Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..

Description The Medical Coding Auditor reviews medical records to verify coding (ICD-10 CM/PCS). The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate ..

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

Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Indianapolis Indiana Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, and ..

Job Information Humana Senior Consumer Service Operations Analyst-Remote KY, IN or WI in Indianapolis Indiana Description The Senior Consumer Service Operations Professional is responsible for the daily activities across multiple service ..

Job Information Humana Product Marketing Professional (Remote) in Indianapolis Indiana Description Humana's Primary Care Organization is looking for a Product Marketing Professional to join the team working anywhere in the US ..

Job Information Humana RN Care Manager--Compact License Required-WAH Nationwide in Indianapolis Indiana Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..

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

Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH Nationwide in Indianapolis Indiana Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..

Job Information Humana Provider Contracting Executive in Indianapolis Indiana Description The Provider Contracting Executive works with large health systems to negotiate contract terms, contract language, payment structures and reimbursement rates. Additionally, ..

Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Indianapolis Indiana Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team ..

Job Information Humana Bilingual Spanish RN Care Manager--Compact License Required-WAH Nationwide in Indianapolis Indiana Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs ..

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

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,..

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

Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Indianapolis Indiana Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..

Job Information Humana Medical Coding Coordinator 3- Remote USA in Indianapolis Indiana Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural ..

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

Job Information Humana Medicare/Medicaid Program Manager -- Remote in Indianapolis Indiana Description Humana's Enterprise Shared Services organization is seeking an outstanding cross-functional program leader to join its Business Management team. This ..

Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Indianapolis Indiana Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..

Description Are you passionate about discovering opportunities to improve coding efficiencies and mentoring application developers in proper coding techniques for mainframe programs? Do you have a solid Cobol, DB2, and CICS ..

... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... a Bachelor's degree in Business, Healthcare, or related field and/or 8 ... 5 years' experience in the..