• Home Healthcare Claims…

    CenterWell (Jefferson City, MO)
    …our caring community and help us put health first** The Manager of Pre -Bill Audit provides strategic leadership and operational oversight for the organization's ... pre -billing function. This role is responsible for ensuring all claims are audit-ready prior to release, driving standardization across branches, and delivering… more
    CenterWell (12/18/25)
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  • Risk Management Professional

    Humana (Jefferson City, MO)
    …claims in accordance with TRICARE policy requirements. This role involves reviewing pre -payment, high dollar claims to assess payment accuracy and identify ... **Become a part of our caring community and help us put health first** The Claims Risk Management Professional is responsible for ensuring payment quality of … more
    Humana (12/13/25)
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  • Work From Home Call Center Sales

    Mass Markets (MO)
    …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... company careers page, including all screening questions and a brief pre -employment test. POSITION RESPONSIBILITIES Key Responsibilities: + Listen to customers,… more
    Mass Markets (11/26/25)
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  • Work-at- Home Inbound Insurance Agent (Paid…

    Mass Markets (MO)
    …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... company careers page, including all screening questions and a brief pre -employment test. POSITION RESPONSIBILITIES Key Responsibilities: + Handle inbound and… more
    Mass Markets (10/07/25)
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  • Inpatient Medical Coding Auditor

    Humana (Jefferson City, MO)
    …looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and ... metrics-driven environment. If you are looking to work from home , for a Fortune 100 company that focuses on...payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments.… more
    Humana (12/23/25)
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  • Fraud and Waste Investigator

    Humana (Jefferson City, MO)
    … healthcare fraud investigations and auditing experience * Knowledge of healthcare payment methodologies, claims , submissions, and payments * Strong ... skills to make an impact** **WORK STYLE:** Work at Home . While this is a remote position, occasional travel...AHFI) * Experience testifying in court * Understanding of healthcare industry, claims processing, and investigative process… more
    Humana (12/24/25)
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  • Senior Fraud and Waste Professional

    Humana (Jefferson City, MO)
    …JD, MSN, Clinical Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + ... + Bachelor's degree + Minimum 3 + years of healthcare fraud investigations and auditing experience + Knowledge of...operations + Bilingual in Spanish **Additional Information** **Work at Home Requirements** * At minimum, a download speed of… more
    Humana (12/24/25)
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  • Spanish Licensed Health Insurance Agent

    Mass Markets (MO)
    …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... company careers page, including all screening questions and a brief pre -employment test. POSITION RESPONSIBILITIES Key Responsibilities: + Provide information to… more
    Mass Markets (11/17/25)
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  • Payment Integrity Coding Professional

    Humana (Jefferson City, MO)
    …escalations. **Use your skills to make an impact** **WORK STYLE:** Remote/Work at Home . While this is a remote position, occasional travel to Humana's offices for ... certification experience utilizing coding guidelines by reading and interpreting claims + Exceptional understanding of Centers for Medicare &...hours are 8AM - 5PM Eastern time. **Work at Home Requirements** * At minimum, a download speed of… more
    Humana (12/18/25)
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  • Snr Research Consultant

    Oracle (Jefferson City, MO)
    …MS Excel, MS Word + Highly desirable to have: + Experience using EHR and/or healthcare claims data + Familiarity with Python or other programming language At ... **Evidence Generation Lead/Snr Research Consultant, RWE, Health Outcomes** **Remote/Work from home ** Oracle Life Sciences is seeking a qualified health outcomes… more
    Oracle (12/22/25)
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