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Description Humana is looking for an experienced Counselor that truly enjoys helping those in need within a call center environment. Our Counselor's provide ongoing and crisis intervention counseling focused on the ..
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 ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in San Antonio Texas Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be ..
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 Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in San Antonio Texas Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in San Antonio Texas Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direct all quality ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..
Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments ..
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 ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in San Antonio Texas Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Description The Care Management Liaison (CML) Nurse will oversee the processing of referrals from Military Treatment Facilities (MTFs) and civilian providers. The CML will work assignments are varied and frequently require ..
We are seeking a full time Registered Nurse experienced in complex care / case management to join our One Medical at Home program within the High Risk Care Programs. This is ..
Description Humana is continuing to grow nationwide! We have 28 new Bilingual Medicaid Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida Medicaid Members ..
... Information Humana RN/LVN/LPN Clinic Operations Healthcare Trainer - San Antonio in ... in San Antonio Texas Description Healthcare isn't just about health anymore. ... of our patients, and the..
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. Responsibilities ..
Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in San Antonio Texas Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review ..
Description The DRG Validation 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 Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
Description Humana is seeking a Physician Strategy Sr. Professional to join our growing team. The Physician Strategy professional will be responsible for setting and implementing strategy for internal and external physician ..
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,..
