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Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data ..
Description ** Role is open to remote/virtual/home office post-covid. Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do ..
Description Seeking meaningful work? As a Fraud and Waste Manager at Humana, you will come to work every day with the knowledge that your work matters. The ideal candidate is a ..
Description The Lead Cloud Architect leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. The Lead Cloud Architect works on problems of diverse scope and ..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Charleston West Virginia Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special ..
... looking for an experienced medical coding reviewer to handle provider disputes ... should strongly consider the Outpatient Coding Auditor (Surgical Specialty) - Outcomes ... it takes to Succeed Certified..
Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..
Job Information Humana Lead, Cyber Data Project Management (Process Automation)(virtual home office remote) in Charleston West Virginia Description The Lead, Cyber Data Protection Management (Process Automation) identifies and implements solutions (hardware ..
Description The Cyber Intelligence Threat Analyst (TVM Engineer 2) ensures that threats and vulnerabilities to the organization's business systems and applications (both in-house and cloud-based) are minimized. The Cyber Intelligence Threat ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US ... West Virginia Description The Medical Coding Auditor extracts clinical information from ... to patient records. The Medical Coding..
Description The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. Responsibilities The ..
Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
Job Information Humana UM Administration Coordinator (M-F or Tu-Sa Schedules Available) - REMOTE/WORK AT HOME (Anywhere in the US) in Charleston West Virginia Description The UM Administration Coordinator 2 contributes to ..
Description This position is within the EIP Cyber Threat Intelligence (CTI) Operational Team. Senior Cyber Intelligence Analyst focus on understanding and conducting in depth analysis on adversarial capabilities, infrastructure, and TTPs; ..
Description Are you the type of person who is skilled at taking a problem and leveraging data to help solve it? We're looking for a Business Intelligence Analyst to help solve ..
... medical record documentation and diagnosis coding for services rendered is complete, ... ensure capture of all relevant coding. Identifies members with high risk ... change management. Applies clinical and..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Charleston West Virginia Description Humana is looking for an experienced Healthcare Investigator to join its ..
Description The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
Job Information Humana Credentialing Assistant 3/Government Business - Work at Home in Charleston West Virginia Description The Credentialing Assistant 3 obtains and reviews documentation to determine status in a health plan. ..