HealthcareCrossing Jobs

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 ...

Clinical Auditor Registered Nurse Care Management or Utilization Management - USA-KY-Louisville

Fri, 04 Mar 2022 00:00:00 CST

Job Information Humana Clinical Auditor Registered Nurse Care Management or Utilization Management in Louisville Kentucky Description Humana Healthy Horizons in Ohio is seeking a Utilization and Case ...

Licensed Behavioral Health Professional - Quality Audit - USA-KY-Louisville

Fri, 04 Mar 2022 00:00:00 CST

Job Information Humana Licensed Behavioral Health Professional - Quality Audit in Louisville Kentucky Description Humana Healthy Horizons in Ohio is seeking a Licensed Behavioral Health Quality Audit ...

Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US - USA-KY-Louisville

Fri, 11 Mar 2022 00:00:00 CST

Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Louisville Kentucky Description The Medical Coding Auditor reviews medical claims submitted ...

RN Compliance Auditing - USA-KY-Louisville

Mon, 14 Mar 2022 00:00:00 CDT

Job Information Humana RN Compliance Auditing in Louisville Kentucky Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. I...

Compliance Registered Nurse, RN, 2 - South Carolina Medicaid - USA-KY-Louisville

Mon, 25 Apr 2022 00:00:00 CDT

Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and...

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...

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...

Compliance and Process Improvement Professional Registered Nurse, RN - USA-KY-Louisville

Sat, 26 Nov 2022 00:00:00 CST

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...

DRG Validation Coding Auditor - USA-KY-Louisville

Sat, 22 Apr 2023 00:00:00 CDT

Description The DRG Validation 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...

Quality Compliance Nurse Professional - USA-KY-Louisville

Mon, 01 May 2023 00:00:00 CDT

Description The Quality Compliance Nurse Professional 2 uses quality improvement methodology to analyze data and works collaboratively with teams to improve quality for KY Medicaid members. Responsi...

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 ...