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Results based on filters ( 1845 jobs found )

SENIOR CODING EDUCATOR

Humana
Located in Ohio
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data-type="string"> Description : **Become a part of our caring community** ...
Details
Summary
About the job:
The Senior Coding Educator identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. You will report to the Manager, Coding Education. As Senior Coding Educator you will: + Create and implementing the risk adjustment strategy for each provider groups. + Analyze data and reporting and provide educational sessions with providers aimed at quality of care, documentation and coding improvements. + Collaborate with relationship owners and HQRI + Monitor and...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Bioinformatics Technicians
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
De jobs
Certifications / Licenses:
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medical Coder

Humana
Winston-Salem, NC
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data-type="string"> Description : **Become a part of our caring community** ...
Details
Summary
About the job:
The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will + Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. + Identify educational needs based on reports + Prepare comprehensive reports and presentations on coding quality trends, risk areas, and...
Location:
Winston-Salem, NC
Job Type:
Full-Time
Permanent
Occupation:
Billing and Posting Clerks
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
De jobs
Certifications / Licenses:
Certified Professional Coder
Certified Risk Adjustment Coder
American Health Information Management Association
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Business Systems Analyst

Humana
Lansing, MI
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Become a part of our caring community With over 10 million sales ...
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Summary
About the job:
interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. Humana's MarketPoint organization is seeking a...
Location:
Lansing, MI
Job Type:
Full-Time
Permanent
Occupation:
Business Intelligence Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
State of Michigan
Certifications / Licenses:
Azure Data Fundamentals
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Provider Contracting Professional - Behavioral Health/Medicaid

Humana
Lansing, MI
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Become a part of our caring community The Senior Provider Contracting ...
Details
Summary
About the job:
Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Provider Contracting Professional communicates contract terms, payment structures, and reimbursement rates to providers. Provides a comprehensive...
Location:
Lansing, MI
Job Type:
Full-Time
Permanent
Occupation:
Equal Opportunity Representatives and Officers
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
State of Michigan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medical Coder

Humana
Located in Ohio
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data-type="string"> Description : **Become a part of our caring community** ...
Details
Summary
About the job:
The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will + Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. + Identify educational needs based on reports + Prepare comprehensive reports and presentations on coding quality trends, risk areas, and...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Billing and Posting Clerks
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
De jobs
Certifications / Licenses:
Certified Professional Coder
Certified Risk Adjustment Coder
American Health Information Management Association
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Provider Contracting Professional 2

Humana
Lansing, MI
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Become a part of our caring community The Provider Contracting Professional ...
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Summary
About the job:
2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Provider Contracting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Provider Contracting Professional 2 communicates contract terms, payment structures, and reimbursement rates to our Specialty providers within the Florida region. Analyzes financial impact of contracts and terms. Maintains contracts and...
Location:
Lansing, MI
Job Type:
Full-Time
Permanent
Occupation:
Arbitrators, Mediators, and Conciliators
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
State of Michigan
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Process Optimization Lead

Humana
Lansing, MI
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Become a part of our caring community This role is responsible for ...
Details
Summary
About the job:
end-to-end process governance, operational oversight, and execution alignment across assigned deliverables. This role ensures processes are clearly defined, documented, standardized, and consistently executed while maintaining visibility into milestones, dependencies, risks, and overall readiness. Acting as a central process orchestrator, this role partners across cross-functional teams to drive alignment, execution flow, operational discipline, and process consistency. The Process Optimization Lead proactively identifies...
Location:
Lansing, MI
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
State of Michigan
Certifications / Licenses:

Project Management Professional
Program Management Professional
Project Management Institute
Six Sigma Green Belt - LEAN
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

AD, Program Management & PMO

Humana
Lansing, MI
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Become a part of our caring community The Associate Director, Program ...
Details
Summary
About the job:
Management & PMO will serve as a strategic and operational leader within the Medicaid Clinical Operations organization, responsible for overseeing enterprise-wide implementation and execution of initiatives impacting Medicaid clinical operations. Reporting to the Product Management Director, you will lead a high-performing Program Management Office (PMO) team responsible for driving timely, compliant, and effective delivery of state-driven contractual changes, amendments, regulatory requirements, innovation initiatives, and...
Location:
Lansing, MI
Job Type:
Full-Time
Permanent
Occupation:
Natural Sciences Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
State of Michigan
Certifications / Licenses:
Six Sigma certification
Project Management Professional
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medical Coder

Humana
Charlottesville, VA
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data-type="string"> Description : **Become a part of our caring community** ...
Details
Summary
About the job:
The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will + Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. + Identify educational needs based on reports + Prepare comprehensive reports and presentations on coding quality trends, risk areas, and...
Location:
Charlottesville, VA
Job Type:
Full-Time
Permanent
Occupation:
Billing and Posting Clerks
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
De jobs
Certifications / Licenses:
Certified Professional Coder
Certified Risk Adjustment Coder
American Health Information Management Association
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Provider Relations Representative, LTSS/BH

Humana
Charlottesville, VA
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data-type="string"> Description : **Become a part of our caring community** ...
Details
Summary
About the job:
The Provider Relations Representative (Provider Engagement Professional) is responsible for day-to-day front line relationship management of network providers in Humana's Healthy Horizons in Virginia Medicaid network. This role supports provider onboarding, training, education, and inquiry/issue support resolution. This role specifically supports long-term services and supports (LTSS) and home and community-based services (HCBS) providers and must be based in Virginia. The individual in this role should have critical...
Location:
Charlottesville, VA
Job Type:
Full-Time
Permanent
Occupation:
Arbitrators, Mediators, and Conciliators
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
De jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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