Healthcare Operations Jobs

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..

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. ..

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

Job Information Humana Nurse Advice Line Telephonic Nurse - Remote- RN Compact License States Only in Fargo North Dakota Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, ..

... the advancement of Medicaid Clinical Operations and Programs. Responsibilities Responsibilities of ... a clinical environment or within healthcare operations 5 or more years Healthcare or Managed Care leadership experience,..

Job Information Humana Senior Strategy & Program Development Professional (Remote) in Fargo North Dakota Description Responsibilities Humana's Corporate Marketing team is looking for a Senior Strategy & Program Development Professional to ..

... and execute strategic transformation. 'Strategy Operations' is one of a three ... Strategy Planning functions. The Strategy Operations team provides consulting services to ... the other teams in Strategy..

... Fargo North Dakota Description The Healthcare Quality Reporting & Improvement (HQRI) ... Stars and Risk Adjustment Strategy, operations, and performance nationally. The Associate ... nationally. The Associate VP for..

... and execute strategic transformation. 'Strategy Operations' is one of a three ... Strategy Planning functions. The Strategy Operations team provides consulting services to ... the other teams in Strategy..

Job Information Humana Network Operations Lead - Behavioral Health/Medicaid in ... North Dakota Description The Network Operations Lead maintains provider relations to ... claims data needed for service operations. The..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Fargo North Dakota Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

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

Job Information Humana Nurse Advice Line Telephonic Nurse - RN Compact License States Only in Fargo North Dakota Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses ..

... Advisor - Medicaid Provider Service Operations in Fargo North Dakota Description ... Advisor - Medicaid Provider Service Operations provides support to assigned health ... to Medicaid Group product implementation,..

Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Fargo North Dakota Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing ..

... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..

Specialty: RN-Emergency Department -TravelJob Description Monitor health conditions, plan long-term care needs, administer medicine, use medical equipment, perform minor medical operations, and advise patients and their families on illness, care and ..

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,..

... to resources, approach, and tactical operations for projects and initiatives involving ... their home. We are a healthcare company committed to putting health ... CCS, CFE, AHFI) Understanding of..

... Fargo North Dakota Description The Healthcare Quality Reporting & Improvement (HQRI) ... to Humana's national planning and operations for Risk Adjustment, Stars, and ... national provider education strategy and..

Job Information Humana Senior Oracle Database Administrator- Exdata in Fargo North Dakota Description Responsibilities Job Description Summary Humana is seeking an experience Oracle Database Administrator who is passionate about improving processes ..