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Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Programs Analyst works on problems ..
Description The Associate Actuary, SPA RX will be mainly responsible for supporting the pricing work related to our standalone Prescription Drug Plans (PDPs). This includes both bid development and reforecasts throughout ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Huntington West Virginia Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ..
... variable factors. Responsibilities The Senior Finance Professional collects, compiles, verifies, and ... Required Qualifications Bachelor's Degree in Finance, Accounting or a related field ... or more years experience in..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Huntington West Virginia Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Job Information Humana Utilization Management Coordinator 2 in Charleston West Virginia Description The Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 provides non-clinical support to ..
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 Outpatient Medical Coding Auditor-Remote/Virtual in US in Huntington West Virginia Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Job Information Humana Associate Actuary, Pricing Medicare Advantage Prescription ... Charleston West Virginia Description The Associate Actuary role is a newly ... bids, projections, and filings. The Associate Actuary will..
The Case Manager ensures the collaborative process of assessment, planning, facilitation and advocacy for options and services to meet the patient's health needs with quality and cost-effective outcomes as the priorities. ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
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 ..
Description The Senior Value-Based Financial Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Programs Professional works on problems ..
Job Information Humana Finance M&A Integration Senior Project Manager ... Charleston West Virginia Description Humana's Finance Shared Services organization is looking ... organization is looking for a Finance M&A Integration..
Description The Senior Value-Based Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Analyst works on problems of diverse ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Huntington West Virginia Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..
... Analytics is looking for an Associate Director of Data Science to ... future adverse health events. The Associate Director must be able to ... business problems being encountered. The..
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 Information Humana Finance M&A Integration Senior Professional (Remote) ... Charleston West Virginia Description Humana's Finance Shared Services organization is looking ... organization is looking for a Finance M&A Integration..
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, CPT) to patient records. The Medical Coding ..
Description The Associate Actuary, Analytics/Forecasting analyzes and forecasts ... operational decisions within Care Delivery Finance. Evaluates industry, economic, financial, and ... financial and competitive position. The Associate Actuary, Analytics/Forecasting work..