Manager Healthcare Payer Jobs

Description This role is uniquely positioned to influence health care leaders and other stakeholders to think differently about health and wellness. Enthusiasm for improving the health care system and prior community ..

... Clinical Analytics and Trend Program Manager in Honolulu Hawaii Description The ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... Minimum 2 years working in..

... acumen to solve for the healthcare challenges of today. The Clinical ... anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... years or more working in..

... 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..

Description The Behavioral Health Care Manager, Telephonic Nurse, in a telephonic ... wellbeing of members. The Care Manager, Telephonic Nurse work assignments are ... seeking a Behavioral Health Care Manager..

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

Job Information Humana Manager, Utilization Management RN - Remote ... in Honolulu Hawaii Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..

Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Honolulu Hawaii Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..

Job Information Humana Product Manager Lead, Pharmacy Transformative Products Team, ... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With..

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

... (CCM) organization is seeking a Manager, Fraud & Waste to join ... As the Fraud & Waste Manager at Humana, you will support ... that our members receive quality..

Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Honolulu Hawaii Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..

... 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 Outpatient Medical Coding Auditor-Remote/Virtual in US in Honolulu Hawaii Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..

Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..

Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates new product ideas, enhance existing products or strategic product extensions, and translates research discoveries into marketable products. This ..

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Honolulu Hawaii Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..

BAYADA Home Care has an immediate need for Nurse Aides to care for our clients. As a member of our home care team, you will be valued, respected, and heard. We ..

Job Information Humana Medical Coding Coordinator 3- Remote USA in Honolulu Hawaii Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural ..

Job Information Humana Sales Support Representative - Honolulu, HI in Honolulu Hawaii Description Are you passionate about contributing to the well-being of the Medicare population? Would you like to provide support ..

Job Information Humana Manager, Fraud and Waste-Remote US in ... in Honolulu Hawaii Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

Job Information Humana Senior Product Manager, Remote in Honolulu Hawaii Description ... Hawaii Description The Senior Product Manager Conceives of, develops, delivers, and ... customer use. The Senior Product Manager..