HealthcareCrossing Jobs

Nurse Auditor 2-Remote/Virtual in US - USA-OH-Columbus

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-OH-Columbus

Tue, 23 Aug 2022 00:00:00 CDT

Job Information Humana Contract Tools, Education, Processes Professional - Louisville, KY or Remote (EST hours) in Columbus Ohio Description The Contract Tools, Education, Processes Professional build...

Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US - USA-OH-Columbus

Tue, 12 Oct 2021 00:00:00 CDT

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

Medical Coding Auditor - Remote in US - USA-OH-Columbus

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-OH-Columbus

Thu, 23 Mar 2023 00:00:00 CDT

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

Inpatient Medical Coding Auditor-Remote/Virtual in US - USA-OH-Columbus

Thu, 23 Mar 2023 00:00:00 CDT

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

Nurse RN - Full Time - Mid Shift - Columbus Junction, IA (Louisa) - USA-IA-Columbus Junction

Sat, 22 Jan 2022 00:00:00 CST

Job Information Tyson Foods Nurse RN - Full Time - Mid Shift - Columbus Junction, IA (Louisa) in Columbus Junction Iowa At Tyson Foods, the safety of our team members is our top priority. For that re...

Oncology Account Specialist MEL/CRC Columbus, OH - USA-OH-Columbus

Wed, 02 Mar 2022 00:00:00 CST

Oncology Account Specialist – (MEL/CRC) – Columbus, OH

The Oncology Account Specialist (OAS) will have a variety of responsibilities, ranging from promoting Pfizer’s product por...

Nurse RN - Full Time - Mid Shift - Columbus Junction, IA - USA-IA-Columbus Junction

Sun, 06 Mar 2022 00:00:00 CST

Job Details: $5,000 BONUS AVAILABLE (Half pays first check, half pays after six (6) months) SUMMARY: This position is responsible for providing primary and emergency care for occupational and non-o...

Senior Provider Contracting Professional - Remote (EST Hours) - USA-OH-Columbus

Wed, 06 Apr 2022 00:00:00 CDT

Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Columbus Ohio Description The Senior Provider Contracting Professional initiates, negotiates, and executes physi...

Senior Data Scientist (Physician Performance Insights) - Remote or Office - USA-OH-Columbus

Sun, 10 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-OH-Columbus

Fri, 22 Apr 2022 00:00:00 CDT

Job Information Humana Manager, Fraud and Waste-Remote US in Columbus Ohio Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Mana...

Provider Contracting Executive - Remote - USA-OH-Columbus

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-OH-Columbus

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-OH-Columbus

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-OH-Columbus

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...

Associate Director, Digital Channels Consumer and Partner Products - USA-OH-Columbus

Wed, 30 Nov 2022 00:00:00 CST

Description The Associate Director, Full Stack Engineering Performs software engineering activities in all layers of the stack, from setting up the database to programming in the back-end and the app...

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid (MUST LIVE IN OHIO: WORK AT HOME/SOME TRAVEL) - USA-OH-Columbus

Sat, 13 May 2023 00:00:00 CDT

Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance ...

Associate VP, Digital Experience - Shopping, Enrollment, Self-Service - USA-OH-Columbus

Sat, 13 May 2023 00:00:00 CDT

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health a...

Associate VP, Digital Experience - Self-Service - USA-OH-Columbus

Tue, 30 May 2023 00:00:00 CDT