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... the nation's largest provider of healthcare services! We offer an excellent ... a collection of highly motivated healthcare professionals and innovative leaders who ... appropriate. Arranging referrals to a..
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... the nation's largest provider of healthcare services! We offer an excellent ... a collection of highly motivated healthcare professionals and innovative leaders who ... education must be listed on..
Job Information Humana Actuary, Risk and Compliance in Bethesda Maryland Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare Advantage ..
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 ..
Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..
Description The Risk Adjustment Representative 2 conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other ..
Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..
... audit folders. Update the web application tracking system. 15% Research provider ... Qualifications 2 plus years of healthcare experience Prior experience in Fraud, ... or Master's Degree in Business,..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..