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Description The Supervisor, Inbound Contacts represents the company by addressing incoming telephone, digital, or written inquiries. The Supervisor, Inbound Contacts works within thorough, prescribed guidelines and procedures; uses independent judgment requiring ..
Description The Inbound Contacts Representative 4 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 4 assumes ownership and leads advanced and highly specialized administrative/operational/customer ..
... techniques Understand what top Physician/APP talent looks like and know how ... know how to propel the talent within Care Delivery Organization Execute ... Care Delivery Organization Execute Humana's..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Albuquerque New Mexico Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Job Information Humana Manager, Fraud and Waste-Remote US in Albuquerque New Mexico Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..
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 Senior Clinical Recruiter in Albuquerque New Mexico Description The Senior Clinical Recruiter recruits qualified applicants for staff nurse or other positions requiring registered nurse licensure, licensed practical nurse, ..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Albuquerque New Mexico Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ..
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 ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Albuquerque New Mexico Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, ..
Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain high quality ..
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 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 Digital Channel Sales Strategy And Transformation Lead - Louisville, KY or Remote in Albuquerque New Mexico Description The Digital Channel Sales Strategy and Transformation Lead enhances the consumer ..
... and future staffing needs. Source talent, screen for fit, coordinate interviews, ... ensure successful implementation of the talent acquisition strategy. Achieve and maintain proficiency ... in high-volume recruitment, preferably..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Albuquerque New Mexico Description The Medical Coding Auditor reviews medical claims submitted against medical records ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Albuquerque New Mexico Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Description Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Senior Product Marketing Professional to join the PCO's Field Marketing team. This is a remote role that will ..
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 and PCS) to patient records. The Medical ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Albuquerque New Mexico Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Albuquerque New Mexico Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate ..
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,..
