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Description The Lead, Software Quality & Testing ensures that software products meet business standards, functional and non-functional requirements. The Lead, Software Quality & Testing works on problems of diverse scope and ..
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Description The Quality Assurance, Clinical Professional 2 consults and collaborates ... and quality. The Quality Assurance, Clinical Professional 2 work assignments are ... you should strongly consider the Clinical Quality..
... part of Humana within the Clinical IT area. We are looking ... test data management program. The Clinical Test Data Quality Lead will ... responsible for modeling the multiple..
Job Information Humana Senior Medical Auditing Professional: REMOTE/WORK AT HOME in Anchorage Alaska Description The Senior Medical Coding Professional acts as the team SME (Subject Matter Expert) and provides training, guidance, ..
Job Information Humana Senior Network Strategy Professional-- REMOTE/WORK AT HOME (ANYWHERE IN THE US) in Anchorage Alaska Description The Senior Network Strategy Professional oversees various efforts involving complex data analysis and ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Anchorage Alaska Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
... resources, which may include national clinical guidelines, CMS policies and determinations, ... guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, ... of moderately complex to complex..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Anchorage Alaska Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, and ..
Job Information Humana DRG Validation Auditor: REMOTE/Work At Home (Anywhere in the US) in Anchorage Alaska Description The DRG Validation Auditor extracts clinical information from a variety of medical records and ..
... in Anchorage Alaska Description The Clinical Business Lead builds and influences ... for Provider engagement with HAH Clinical Programs. The Clinical Business Lead works on problems ... moderate to..
Description Lead, Technology Solutions (Clinical UM) The Lead, Technology Solutions ... strategic technology partner for Humana's clinical business areas including Clinical Operations (focusing on Utilization management), ... Operations (focusing on..
... to be part of Humana Clinical technologies team !!! You have ... solutions for Humana Healthcare Services Clinical technology tea. An opportunity to ... opportunity to build and expand..
Description The Senior Project Manager manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Senior Project Manager work assignments ..
Job Information Humana UM Administration Coordinator (M-F or Tu-Sa Schedules Available) - REMOTE/WORK AT HOME (Anywhere in the US) in Anchorage Alaska Description The UM Administration Coordinator 2 contributes to administration ..
Job Information Humana Credentialing Assistant 3/Government Business - Work at Home in Anchorage Alaska Description The Credentialing Assistant 3 obtains and reviews documentation to determine status in a health plan. The ..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Anchorage Alaska Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Anchorage Alaska Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
Job Information Humana Credentialing Professional - Work At Home in Anchorage Alaska Description The Credentialing Professional obtains and reviews documentation to determine status in a health plan. The Credentialing Professional work ..
Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Staff Utilization Management Pharmacist work assignments involve moderately ..
Job Information Humana Communications Lead (Employer Group Sales) Work at Home Nationwide in Anchorage Alaska Description The Communications Lead develops and coordinates lines of communication within the organization among employees. The ..
Job Information Humana Senior Provider Engagement Professional - Medicaid Prospective Programs Work at Home in Anchorage Alaska Description The Senior Provider Engagement Professional develops and grows positive, long-term relationships with physicians, ..