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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 UM Administration Coordinator 2 - Work at Home Thurs-Mon Schedule) in Portland Maine Description (Thursday-Monday Schedule) The UM Administration Coordinator 2 contributes to administration of utilization management. The ..
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Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Portland Maine Description Humana is looking for an experienced Healthcare Investigator to join its industry ..
Job Information Humana Credentialing Assistant 3/Government Business - Work at Home in Portland Maine Description The Credentialing Assistant 3 obtains and reviews documentation to determine status in a health plan. The ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Portland Maine Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Portland Maine Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..
Job Information Humana UM Administration Coordinator 2 - Part Time - Work at Home (Friday-Sunday Schedule) in Portland Maine Description (Friday - Sunday Schedule) The UM Administration Coordinator 2 contributes to ..
Job Information Humana Credentialing Professional - Work At Home in Portland Maine Description The Credentialing Professional obtains and reviews documentation to determine status in a health plan. The Credentialing Professional work ..
Job Information Humana Senior Network Strategy Professional-- REMOTE/WORK AT HOME (ANYWHERE IN THE US) in Portland Maine Description The Senior Network Strategy Professional oversees various efforts involving complex data analysis and ..
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..
Job Information Humana Senior ODM Software Engineer ( Work from Home / Remote ) in Portland Maine Description Join the Clinical IT development organization, a part of Technology Solutions, as we ..
Job Information Humana Clinical Formulary Strategy Pharmacist - Work ... Portland Maine Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug ... and medical literature, while providing clinical support for..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Portland Maine Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Portland Maine Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, and ..
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 Senior Provider Engagement Professional - Medicaid Prospective Programs Work at Home in Portland Maine Description The Senior Provider Engagement Professional develops and grows positive, long-term relationships with physicians, ..
Job Information Humana Senior Medical Auditing Professional: REMOTE/WORK AT HOME in Portland Maine Description The Senior Medical Coding Professional acts as the team SME (Subject Matter Expert) and provides training, guidance, ..
Job Information Humana UM Administration Coordinator (M-F or Tu-Sa Schedules Available) - REMOTE/WORK AT HOME (Anywhere in the US) in Portland Maine Description The UM Administration Coordinator 2 contributes to administration ..
... in Portland Maine Description The Clinical Business Lead builds and influences ... for Provider engagement with HAH Clinical Programs. The Clinical Business Lead works on problems ... moderate to..
Job Information Humana Communications Lead (Employer Group Sales) Work at Home Nationwide in Portland Maine Description The Communications Lead develops and coordinates lines of communication within the organization among employees. The ..
Job Information Humana DRG Validation Auditor: REMOTE/Work At Home (Anywhere in the US) in Portland Maine Description The DRG Validation Auditor extracts clinical information from a variety of medical records and ..