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HumanaNurse Auditor – Level 2
Nurse Auditor 2 responsible for clinical audits and validating billing accuracy for Humana. Ensuring compliance with medical record documentation and optimizing reimbursement processes.
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Humana
Currently Hiring
About the company
Humana will never ask, nor require a candidate to provide money for work equipment and network access during the application process.
If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact [email protected] to validate the request
At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences.
Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it.
Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
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50 jobs found
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Clinical Professional (RN) overseeing Medicare Stars Program in Florida. Responsible for program development, implementation and management, including provider visits and quality improvement strategies.
Lead Software Engineer developing innovative IVR solutions and omnichannel APIs for a Fortune 50 healthcare company. Collaborate across teams to drive success of customer - facing applications.
Regional VP overseeing health plan operations and results for Humana, developing strategy and managing provider relationships in the U.S. health sector.
Regional Vice President managing the development and results of health plans in the Pacific Southwest region. Responsible for contract negotiations and operational performance across multiple states.
Senior Learning Designer developing impactful training solutions for IT associates at Humana. Collaborating with stakeholders to enhance performance and skill development through strategic learning solutions.
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Senior Procurement Professional generating and implementing sourcing strategies for Humana. Managing supply portfolio and vendor negotiations while ensuring transparency of spending with stakeholders.
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HumanaRN, Field Care Manager
RN, Field Care Manager providing face - to - face and telephonic health assessments for members in Virginia. Collaborating on care plans to manage health needs effectively.
Associate VP of Software Engineering overseeing software quality assurance processes. Leading strategic plans and ensuring alignment with business objectives in a remote role.
Medicaid Product Marketing Professional responsible for marketing campaigns for Humana’s Medicaid line. Work focusing on strategy compliance and project management across teams.
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HumanaRN Care Manager
Nurse Care Manager providing case management and support to adults in the Family Care Partnership program across multiple counties. Conducting assessments and facilitating access to health services.
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Manager of Quality Improvement implementing quality improvement programs for Humana. Driving quality improvement efforts and ensuring compliance with NCQA Health Plan accreditation in Oklahoma.