Healthcare Information Systems Jobs in Hawaii

Engineer Systems Architect - Health IT Northrop ... - Health IT Northrop Grumman Information Systems sector is seeking Systems Architects to join our team ... Military Programs team focusing on..

... take charge of their own healthcare decisions. Provide guidance and clinical ... coordinate interventions that may include information, education, resources and referrals Coordinate ... learn how to use virtual..

... by ability to navigate multiple systems, utilizing dual computer monitors. Provide ... for optimal performance from Humana systems is 10M x 1M. A ... (see details below under Additional..

... Enters and maintains pertinent clinical information in various medical management systems. Understands department, segment, and organizational ... to research and understand complex information Preferred Qualifications Bachelor's degree Utilization .....

... get the right care and information based on their specific condition ... related experience in management of healthcare analytical support staff Technical proficiency ... for optimal performance from Humana..

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 ..

... love auditing and investigating clinical/coding information, researching medical materials and sources ... credential (CPC, CCS, or CRC) Healthcare experience within a fraud investigations ... well as solid knowledge of..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Honolulu Hawaii Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..

Job Information Humana Telephonic Care Coach -WAH Nationwide in Honolulu Hawaii Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain ..

... phone to gather additional clinical information or discuss determinations regularly, and ... whether services provided by other healthcare professionals are in agreement with ... management organizations, hospitals/ Integrated Delivery..

Description The Overutilization Review and Monitoring Staff Clinical Pharmacist is a clinical pharmacist that works in Humana's Drug Management Program. This individual conducts case management on at-risk beneficiaries and potential at-risk ..

Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the ..

... technical ability to learn different systems and databases Experience sourcing passive ... protect member PHI / HIPAA information. Preferred Qualifications Master's degree Recruiting ... experience using formalized applicant tracking..

Description The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied ..

Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. ..

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 ..

Job Information Humana Provider Contracting Professional - Behavioral Health in Honolulu Hawaii Description The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health physician, hospital, and/or other provider contracts and ..

Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..

Job Information Humana Social Worker-MSW and licensure ... for optimal performance from Humana systems is 25M x 10M Associates ... (see details below under Additional Information) and upon offer will..

... by ability to navigate multiple systems, utilizing dual computer monitors. Provide ... for optimal performance from Humana systems is 25 MBS Downstream/ 10 ... (see details below under Additional..

Description The Director, Provider Reimbursement is responsible for the leadership, strategy development and execution of Humana Military's provider reimbursement methodologies. This leader is responsible for timely and accurate implementation of Government ..

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 ..

... Development Life Cycle (SDLC) and Information Technology Infrastructure Library (ITIL) frameworks ... managing competing priorities, analytical and systems thinking. Developing career paths and ... Qualifications Bachelor's Degree in Business,..