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Description The Strategy Advancement Advisor provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for business segments or the company at ..
Description The Senior Claims Research & Resolution Professional manages claims ... the organization. The Senior Claims Research & Resolution Professional work assignments ... Responsibilities Description The Senior Claims Research &..
... is seeking an experienced Market Research Lead to join the Market ... Lead to join the Market Research Department working remote anywhere in ... membership. Responsibilities As the Market..
Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Montpelier Vermont Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives that ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..
Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the ..
The Burlington School District believes a diverse and culturally proficient faculty and staff are pivotal to the creation of a strong learning environment free of inequities. Accordingly, the Burlington School District's ..
Description Humana's Marketing Organization is seeking a Consumer Experience Professional to join the Market Research Loyalty & Advocacy Insights team. This enterprise team focuses on data analysis and generating insights from ..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..
Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives that maximize customer value to create a differentiated value proposition for Humana ..
Job Information Humana Bilingual Quality Auditor in Montpelier Vermont Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Montpelier Vermont Description Humana is looking for an experienced Healthcare Investigator to join its industry ..
Burlington School District SPEECH LANGUAGE PATHOLOGIST VACANCY Burlington Early Education Program Burlington School District is seeking a passionate and energetic Speech and Language Pathologist (SLP) to join a school committed to ..
Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Description The Senior UX Research Professional performs data analysis supporting ... attitudinal data. The Senior UX Research Professional work assignments involve moderately ... factors. Responsibilities The Senior UX Research Professional..
... CPI as E. Professional Practice, Research and Development Applies ethics and ... seeking ways to address Uses research design, statistical procedures, and applied ... design, statistical procedures, and applied..
The Associate Director of Human Resources works collaboratively with the HR Team and may require the person to step in to provide additional HR Support. This role works across all divisions ..
Description The Manager, STARS Improvement develops, implements, and manages oversight of the company's Medicare Stars Program. This position will manage the Stars improvement team. Responsibilities The Manager, STARS Improvement develops the ..