HealthcareCrossing Jobs

Senior Value-Based Programs Analyst - Louisville, KY or Remote - USA-PA-Philadelphia

Wed, 12 May 2021 00:00:00 CDT

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 Sen...

Nurse Auditor 2-Remote/Virtual in US - USA-PA-Philadelphia

Wed, 15 Sep 2021 00:00:00 CDT

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...

Contract Tools, Education, Processes Professional - Louisville, KY or Remote (EST hours) - USA-PA-Philadelphia

Wed, 24 Aug 2022 00:00:00 CDT

Job Information Humana Contract Tools, Education, Processes Professional - Louisville, KY or Remote (EST hours) in Philadelphia Pennsylvania Description The Contract Tools, Education, Processes Profes...

Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US - USA-PA-Philadelphia

Tue, 12 Oct 2021 00:00:00 CDT

Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Philadelphia Pennsylvania Description The Medical Coding Auditor extracts clinical information from a var...

Medical Coding Auditor - Remote in US - USA-PA-Philadelphia

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...

Outpatient Medical Coding Auditor-Remote/Virtual in US - USA-PA-Philadelphia

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Philadelphia Pennsylvania Description The Medical Coding Auditor extracts clinical information from a variety of medica...

Inpatient Medical Coding Auditor-Remote/Virtual in US - USA-PA-Philadelphia

Thu, 23 Mar 2023 00:00:00 CDT

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

Associate Director US Marketing Oncology Market Access (REMOTE) - USA-PA-North Wales

Mon, 21 Feb 2022 00:00:00 CST

Job Description\n\nNew hires in office-based roles in the US & Puerto Rico will be required, subject to applicable law, to demonstrate that they have been fully vaccinated for COVID-19 or qualify for ...

Associate Director, Clinical Scientist - Oncology - USA-PA-North Wales

Mon, 21 Feb 2022 00:00:00 CST

Job Description\n\nNew hires in office-based roles in the US & Puerto Rico will be required, subject to applicable law,\u00a0to demonstrate that they have been fully vaccinated for COVID-19 or qualify...

Associate Director, U.S. Insomnia Marketing - USA-PA-North Wales

Mon, 21 Feb 2022 00:00:00 CST

Associate Director, US Oncology Digital Engagement Campaign Development Lead - USA-PA-North Wales

Mon, 21 Feb 2022 00:00:00 CST

Global Labeling Lead (Director) Oncology/Vaccines and Other areas - USA-PA-Collegeville

Wed, 02 Mar 2022 00:00:00 CST

JOB SUMMARY

The Global Labeling Lead (GLL) has overall accountability for the initial creation and relevant updates to labeling documents for their assigned products. This incl...

Medical Records Retrieval Representative - Philadelphia area - USA-PA-Philadelphia

Thu, 24 Mar 2022 00:00:00 CDT

Job Information Humana Medical Records Retrieval Representative - Philadelphia area in Philadelphia Pennsylvania Description Philadelphia area The Medical Records Retrieval Representative/Risk Adjustm...

Senior Provider Contracting Professional - Remote (EST Hours) - USA-PA-Philadelphia

Wed, 06 Apr 2022 00:00:00 CDT

Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Philadelphia Pennsylvania Description The Senior Provider Contracting Professional initiates, negotiates, and ex...

Senior Data Scientist (Physician Performance Insights) - Remote or Office - USA-PA-Philadelphia

Mon, 11 Apr 2022 00:00:00 CDT

Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain hi...

Manager, Fraud and Waste-Remote US - USA-PA-Philadelphia

Fri, 22 Apr 2022 00:00:00 CDT

Job Information Humana Manager, Fraud and Waste-Remote US in Philadelphia Pennsylvania Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practic...

Provider Contracting Executive - Remote - USA-PA-Philadelphia

Wed, 15 Jun 2022 00:00:00 CDT

Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insuran...

Healthcare Financial Analyst - Remote - USA-PA-Philadelphia

Fri, 24 Jun 2022 00:00:00 CDT

Description The Healthcare Financial Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilitie...

Manager, Medicare Risk Adjustment - Remote - USA-PA-Philadelphia

Thu, 21 Jul 2022 00:00:00 CDT

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medi...

Senior Value-Based Programs Analyst - USA-PA-Philadelphia

Fri, 18 Nov 2022 00:00:00 CST

Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achievi...