HealthcareCrossing Jobs

Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home - USA-KY-Louisville

Mon, 19 Jun 2023 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...

Senior Clinical Fraud and Waste Investigator - RN and Coding Credential required - REMOTE (Anywhere in US) - USA-KY-Louisville

Fri, 07 Apr 2023 00:00:00 CDT

Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Profe...

Senior Risk Management Professional - Third Party Risk Management-Remote, US - USA-KY-Louisville

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Senior Risk Management Professional - Third Party Risk Management-Remote, US in Louisville Kentucky Description The Senior Risk Management Professional a critical member within ...

Nurse Auditor 2-Remote in KY/IN - USA-KY-Louisville

Fri, 04 Mar 2022 00:00:00 CST

Job Information Humana Nurse Auditor 2-Remote in KY/IN in Louisville Kentucky Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation a...

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...

Senior Consumer Service Operations Analyst-Remote KY, IN or WI - USA-KY-Louisville

Wed, 06 Apr 2022 00:00:00 CDT

Job Information Humana Senior Consumer Service Operations Analyst-Remote KY, IN or WI in Louisville Kentucky Description The Senior Consumer Service Operations Professional is responsible for the dail...

Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US - USA-KY-Louisville

Sun, 10 Apr 2022 00:00:00 CDT

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

Claims Quality Audit Professional 1 - Remote KY, IN, WI or In Office (KY or WI) - USA-KY-Louisville

Sat, 16 Apr 2022 00:00:00 CDT

Description Responsibilities The Claims Quality Audit Professional 1 works with the Resolution Quality Audit leadership team to support efficiency and day to day operations. Requires in-depth knowle...

Compliance Nursing Supervisor - USA-KY-Louisville

Mon, 02 May 2022 00:00:00 CDT

Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud...

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...

Senior Compliance Professional - Medicaid State Reporting - USA-KY-Lexington

Fri, 16 Sep 2022 00:00:00 CDT

Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve mo...

Nurse Auditor 2 PPI Lab Remote MST, CST, EST - USA-KY-Louisville

Fri, 30 Sep 2022 00:00:00 CDT

Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. ...

Director of Finance & Operations - HSC (Job Id: 44661) - USA-KY-Louisville

Sat, 05 Nov 2022 00:00:00 CDT

Job ID: 44661

Location: undefined

Minimum Qualifications

Master's degree in Business, Public Health, or Healthcare Management and eight years of related experience...

CenterWell PCO, Senior Compliance Professional - Remote - USA-KY-Louisville

Fri, 02 Dec 2022 00:00:00 CST

Description The Senior Compliance Professional ensures compliance with governmental requirements, specifically risk adjustment coding and medical record document requirements. This role acts as the s...

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...

Enterprise Risk Management Lead-US-Remote - USA-KY-Louisville

Sun, 07 May 2023 00:00:00 CDT

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

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...