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Description The Manager, Coding Education identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. The Manager, Coding Education works within specific guidelines and procedures; ..
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Job Information Humana Social Worker - Telephonic Behavioral Health in Ridgeland Mississippi Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and ..
Description We are seeking a talented Principal, Cloud Platform Architect to lead our journey of Tech Modernization as we migrate strategic workloads to the public cloud environments. The ideal candidate for ..
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 ..
Job Information Humana Clinical Recruiter 2 - VSP in Ridgeland Mississippi Description The Clinical Recruiter 2 interviews prospective employees for hourly and salaried positions. Assists with Pharmacy recruiting from entry level ..
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 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 ..
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 ..
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 Financial Analytics Professional 2 manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Financial Analytics Professional 2 work assignments are ..
Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
... 41) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... President, Strategy Advancement for our..
Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ..
... 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..
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 ..
Job Information Humana Sr. Clinical Recruiter - VSP( Variable Staffing Pool) in Ridgeland Mississippi Description The Senior Recruiter interviews prospective employees for hourly and salaried positions. Assists with university graduate and ..
... return to work, arranging advanced healthcare if needed; and associated case ... good people can do. Our Talent Strategy is to Attract, Grow, ... Reward and Retain the best..
Description The Consumer Service Operations Lead is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Lead works on problems of diverse scope and complexity ranging ..
... Humana attract and retain key talent in a number of roles ... the company's business objectives and talent strategy. Translate strategic objectives into ... retaining and motivating top sales..
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 ..
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 ..
