- Humana (Oklahoma City, OK)
- …where needed. Follows established guidelines/procedures. + Review medical documentation for clinical indicators to ensure correct coding guidelines are met + Perform ... CPT/HCPCS code reviews for professional Evaluation and Management services: Inpatient services, office visit...and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the… more
- Humana (Carson City, NV)
- …and help us put health first** The Senior Fraud and Waste Professional (Program Integrity Lead) is responsible for overseeing the monitoring and enforcement ... the program's transparency and accountability. The Senior Fraud and Waste Professional also conducts investigations into allegations of fraudulent and abusive… more
- Humana (Port St. Lucie, FL)
- …nutrition standards. * Protects the home care agency by adhering to professional standards, home care policies and procedures, federal, state, and local ... liability insurance with at least 100,000/300,000/100,000 limits Excellent customer service Strong clinical background Strong sense of engagement to be a team player… more
- Humana (Jackson, MS)
- …full utilization of benefits and advocacy. This role requires effective and professional communication with providers, community resources, and other members of the ... in the member's record is required to ensure CMS compliance , and accurately reflect work with members, providers, and...Must have passed ASWB Exam (Master, Advance Generalist, or Clinical level) + Minimum 3 years of experience working… more
- Humana (Springfield, IL)
- …research on the competitive landscape, relevant educational institutions, professional associations, conferences, and market intelligence. * Accurately input ... to inquiries received across various sourcing platforms in a timely and professional manner * Coordinate and execute recruitment marketing campaigns and strategies… more
- Humana (Lansing, MI)
- …needed. Follows established guidelines/procedures. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes ... is managed and often guided by precedent and/or documented procedures/regulations/ professional standards with some interpretation. **Job Responsibilities:** + Serve… more
- Humana (Olympia, WA)
- …can be in the following areas: + Insurance Strategy and Solutions + Clinical Operations + Medicare Divisional + Provider Experience + Medicaid **Location:** The ... in a Master of Business (MBA) or other advanced professional degree (eg MPH, MD, JD, Ph.D.), with a...and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the… more
- Humana (Honolulu, HI)
- …ICD-10 diagnosis codes, DRG, etc. Partner with actuarial, financial, and clinical teams to align on data definitions, methodologies, and reporting. Identify ... relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations. + MAAA + Strong communication skills + Experience in… more