HealthcareCrossing Jobs

Utilization Management Nurse (ACD) - USA-ME-Portland

Wed, 06 Oct 2021 00:00:00 CDT

Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract r...

Vendor Quality Medical Director - USA-ME-Portland

Wed, 06 Oct 2021 00:00:00 CDT

Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical ve...

Risk Management Professional - Third Party Risk Management-WAH, US - USA-ME-Portland

Sun, 26 Sep 2021 00:00:00 CDT

Description The Risk Management Professional 2 a critical member within Humana's Third Party Risk Management Program (TPRM), a 2nd Line of Defense function, will be responsible for maturing our progr...

Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US - USA-ME-Portland

Tue, 19 Oct 2021 00:00:00 CDT

Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Portland Maine Description The Medical Coding Auditor extracts clinical information from a variety of med...

Risk Management Professional 2-WAH, US - USA-ME-Portland

Sat, 23 Oct 2021 00:00:00 CDT

Medical Coding Auditor - Remote in US - USA-ME-Portland

Sat, 27 Nov 2021 00:00:00 CST

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 pa...

Nurse Auditor 2-Remote in US - USA-ME-Portland

Wed, 01 Dec 2021 00:00:00 CST

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...

Communications & Sales Conduct Risk Management Lead-US-Remote - USA-ME-Portland

Sat, 18 Dec 2021 00:00:00 CST

Job Information Humana Communications & Sales Conduct Risk Management Lead-US-Remote in Portland Maine Description The Sales Conduct Risk Management Lead a critical member of Humana's Third Party Risk...

Outpatient Medical Coding Auditor-Remote/Virtual in US - USA-ME-Portland

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Portland Maine Description The Medical Coding Auditor extracts clinical information from a variety of medical records a...

Inpatient Medical Coding Auditor-Remote/Virtual in US - USA-ME-Portland

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Portland Maine Description The Medical Coding Auditor extracts clinical information from a variety of medical records an...

HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US - USA-ME-Portland

Fri, 04 Mar 2022 00:00:00 CST

Job Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in Portland Maine Description The Risk Management Professional 2 identifies and ana...

Director, Behavioral Health Strategy - USA-ME-Portland

Wed, 13 Apr 2022 00:00:00 CDT

Job Information Humana Director, Behavioral Health Strategy in Portland Maine Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have acce...

Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US - USA-ME-Portland

Sun, 10 Apr 2022 00:00:00 CDT

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

Manager, Fraud and Waste-Remote US - USA-ME-Portland

Mon, 25 Apr 2022 00:00:00 CDT

Job Information Humana Manager, Fraud and Waste-Remote US in Portland Maine Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Man...

Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME - USA-ME-Portland

Mon, 29 Aug 2022 00:00:00 CDT

Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Portland Maine Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry ...

Fraud and Waste Investigator - Work At Home (Anywhere in the US) - USA-ME-Portland

Mon, 05 Dec 2022 00:00:00 CST

Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Portland Maine Description Humana is looking for an experienced Healthcare Investigator to join its industry ...

Inpatient Medical Coding Auditor - USA-ME-Portland

Thu, 20 Apr 2023 00:00:00 CDT

Enterprise Risk Management Lead-US-Remote - USA-ME-Portland

Thu, 11 May 2023 00:00:00 CDT

Job Information Humana Enterprise Risk Management Lead-US-Remote in Portland Maine Description The Sales Conduct Risk Management Lead a critical member of Humana's Third Party Risk Management Program ...

Bilingual Quality Auditor - USA-ME-Portland

Sat, 03 Jun 2023 00:00:00 CDT

Job Information Humana Bilingual Quality Auditor in Portland Maine Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Servi...

Clinical Physician Assistant - Mental Health - Rumford CBOC - USA-ME-Rumford

Mon, 05 Jun 2023 00:00:00 CDT

Qualifications \n
\n \n Applicants pending the completion of educational or certification/licensure requirements ...