HealthcareCrossing Jobs

Director, Claims Quality Audit - USA-KY-Louisville

Sat, 28 Nov 2020 00:00:00 CST

Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract...

Medical Coding Auditor Supervisor-Conviva Care Solutions- Work at Home - USA-KY-Louisville

Fri, 15 Oct 2021 00:00:00 CDT

Description The Medical Coding Auditor Supervisor handles a combination of tasks, including extracting clinical information from a variety of medical records and assigning appropriate procedural term...

Medical Coding Auditor Supervisor - USA-KY-Louisville

Sun, 04 Jul 2021 00:00:00 CDT

Fraud Investigation Technician 2 - USA-KY-Louisville

Thu, 29 Jul 2021 00:00:00 CDT

Description The Fraud Investigation Technician 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud Investigation Technician 2 performs varied activities and modera...

Manager, Fraud & Waste (Licensed RN) (Remote US) - USA-KY-Louisville

Thu, 02 Sep 2021 00:00:00 CDT

Description Humana's Claims Cost Management (CCM) organization is seeking a Manager, Fraud & Waste to join the Provider Payment Integrity-Clinical Audit team working remote anywhere in the US. As the...

Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US - USA-KY-Louisville

Thu, 21 Oct 2021 00:00:00 CDT

Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Louisville Kentucky Description The Medical Coding Auditor extracts clinical information from a variety o...

Certified Coder, Central Business Office, UofL Physicians, Nucleus Building, Full Time, Days - USA-KY-Louisville

Thu, 21 Oct 2021 00:00:00 CDT

Overview\nJOB SUMMARY\nThe team member performs highly technical and specialized functions for the Central Business Office. The team member reviews, analyzes, and codes diagnostic and procedural info...

Medical Coding Auditor - Remote in US - USA-KY-Louisville

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...

Inpatient Medical Coding Auditor-Remote/Virtual in US - USA-KY-Louisville

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Louisville Kentucky Description The Medical Coding Auditor extracts clinical information from a variety of medical recor...

Outpatient Medical Coding Auditor-Remote/Virtual in US - USA-KY-Louisville

Thu, 23 Mar 2023 00:00:00 CDT

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

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

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 Louisville Kentucky Description The Risk Management Professional 2 identifies an...

Manager, Fraud and Waste-Remote US - USA-KY-Louisville

Sat, 23 Apr 2022 00:00:00 CDT

Job Information Humana Manager, Fraud and Waste-Remote US in Louisville Kentucky Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. Th...

Associate Director, Fraud and Waste - USA-KY-Louisville

Sun, 05 Jun 2022 00:00:00 CDT

Job Information Humana Associate Director, Fraud and Waste in Louisville Kentucky Description Responsibilities Associate Director, Program Integrity : At the direction of the Associate Vice President,...

Director, HEDIS Production & Quality Analytics - USA-KY-Louisville

Sun, 28 Aug 2022 00:00:00 CDT

Description The Director HEDIS Production and Quality Analytics takes the lead in driving success for key quality measures development and analytic reporting functions that support Humana Military cl...

Fraud and Waste Investigator - Work At Home (Anywhere in the US) - USA-KY-Louisville

Mon, 05 Dec 2022 00:00:00 CST

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

Director of Finance & Operations - HSC - USA-KY-Louisville

Thu, 09 Feb 2023 00:00:00 CST

Department:

*******

Location: Health Sciences Center

Time Type:

Full time

Worker Type:

Regular

Job Req ID: R1005...

Sr. Director, Business Affairs - R100886 - USA-KY-Louisville

Wed, 08 Mar 2023 00:00:00 CST

Department:

*******

Location: Health Sciences Center

Time Type:

Full time

Worker Type:

Regular

Job Req ID: R1008...

Inpatient Medical Coding Auditor - USA-KY-Louisville

Thu, 20 Apr 2023 00:00:00 CDT

HEDIS Senior Data Manager - USA-KY-Louisville

Fri, 23 Jun 2023 00:00:00 CDT

Description Humana's Health Quality and Stars organization is seeking a HEDIS Senior Data Manager to deliver quality and value in a fast-paced, dynamic environment. The successful candidate will be s...

Bilingual Quality Auditor - USA-KY-Louisville

Sat, 03 Jun 2023 00:00:00 CDT

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