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Senior Provider Hospital Reimbursement Analyst

Humana
Located in Ohio
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Join our compassionate community dedicated to prioritizing health The Senior ...
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Summary
About the job:
Provider Hospital Reimbursement Analyst plays a vital role in the Pricer Business and System Support team, focusing on complex Medicare provider reimbursement methodologies. As our team expands to meet evolving business demands, your skills will be key to supporting our goals. This role primarily involves maintaining and supporting Medicare outpatient provider reimbursement for hospitals and facilities. You will collaborate with IT, pricing software vendors, claims operations, and other business teams involved in...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Six Figure Jobs (more than $100K)
From:
Himalayas
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
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Field Care Manager Nurse 2 ARTS

Humana
Located in Ohio
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data-type="string"> Description : **Become a part of our caring community ...
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and help us put health first** The ARTS Care Manager (Field Care Manager, Behavioral Health 2) performs primarily face to face and telephonic assessments with members with substance use disorders (SUD). The ARTS Care Manager serves as the primary point of contact. providing integrated care to ensure members receive timely, high-quality, and coordination services that meet their unique needs. This position employs a variety of strategies, approaches, and techniques to manage a member's health issues and identifies and...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Healthcare Social Workers
Career Level / Education:
Master's degree
Salary:
High Income Jobs ($80K-$99K)
From:
De jobs
Certifications / Licenses:
Driver's License
National Committee for Quality Assurance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Purchasing Coordinator - PART TIME

Humana International Group
Located in Ohio
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Become a part of our caring community and help us put health first Humana is ...
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About the job:
seeking a part-time Purchasing Coordinator to join the Inclusa team to serve the Wisconsin Family Care (FC) program. In this temporary role, you will be working from approximately March-June 2026. You will be an important resource to associates who work directly with members by assisting with the purchase of Durable Medical Equipment (DME), Disposable Medical Supplies (DMS), Adaptive Aids and Specialized Medical Supplies (SMS). You will be responsible for determining cost-effective options to meet members' needs....
Location:
Located in Ohio
Job Type:
Part-Time
Full-Time
Temporary
Occupation:
Purchasing Agents, Except Wholesale, Retail, and Farm Products
Career Level / Education:
Bachelor's degree
Salary:
Middle Income Jobs ($30K-$49K)
From:
Himalayas
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Call quality professional 2

Humana International Group
Located in Ohio
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Become a part of our caring community and help us put health first With over ...
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About the job:
10 million sales 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...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Compliance Officers
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
Himalayas
Certifications / Licenses:
State insurance license
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medical Coding Educator

Humana
Boca Raton, FL
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data-type="string"> Description : **Become a part of our caring community ...
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About the job:
and help us put health first** The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. You will report to the Manager, Medicare Risk Adjustment, As the 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:
Boca Raton, FL
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
High Income Jobs ($80K-$99K)
From:
De jobs
Certifications / Licenses:
Driver's License
American Health Information Management Association
Certified Radiology Coder
Certified Professional Coder
Certified Risk Adjustment Coder
Certified Rehabilitation Counselor
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

SENIOR DATA ARCHITECT

Humana
Fort Lauderdale, FL
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data-type="string"> Description : **Become a part of our caring community ...
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and help us put health first** In this Senior Data Architect role, you will meaningfully contribute to data architecture, data integration, and interoperability for CenterWell's OneHome team. You will ensure data solutions are both technically robust and aligned with business and user needs. You will also establish and enforce data standards, models, and governance, while also prioritizing enhancements and new features based on business impact. Additionally, you will help improve communication across engineering,...
Location:
Fort Lauderdale, FL
Job Type:
Full-Time
Permanent
Occupation:
Database Architects
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
De jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medical Coding Educator

Humana
Ocala, FL
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data-type="string"> Description : **Become a part of our caring community ...
Details
Summary
About the job:
and help us put health first** The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. You will report to the Manager, Medicare Risk Adjustment, As the 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:
Ocala, FL
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
De jobs
Certifications / Licenses:
Driver's License
American Health Information Management Association
Certified Radiology Coder
Certified Professional Coder
Certified Risk Adjustment Coder
Certified Rehabilitation Counselor
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medical Coding Educator

Humana
Sarasota, FL
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data-type="string"> Description : **Become a part of our caring community ...
Details
Summary
About the job:
and help us put health first** The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. You will report to the Manager, Medicare Risk Adjustment, As the 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:
Sarasota, FL
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
High Income Jobs ($80K-$99K)
From:
De jobs
Certifications / Licenses:
Driver's License
American Health Information Management Association
Certified Radiology Coder
Certified Professional Coder
Certified Risk Adjustment Coder
Certified Rehabilitation Counselor
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medical Coding Educator

Humana
West Palm Beach, FL
Actions
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data-type="string"> Description : **Become a part of our caring community ...
Details
Summary
About the job:
and help us put health first** The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. You will report to the Manager, Medicare Risk Adjustment, As the 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:
West Palm Beach, FL
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
High Income Jobs ($80K-$99K)
From:
De jobs
Certifications / Licenses:
Driver's License
American Health Information Management Association
Certified Radiology Coder
Certified Professional Coder
Certified Risk Adjustment Coder
Certified Rehabilitation Counselor
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medical Coding Educator

Humana
Flint, MI
Actions
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Become a part of our caring community and help us put health first The ...
Details
Summary
About the job:
Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. You will report to the Manager, Medicare Risk Adjustment, As the 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 educational outcomes using data...
Location:
Flint, MI
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
State of Michigan
Certifications / Licenses:
Certified Rehabilitation Counselor
Certified Risk Adjustment Coder
Certified Professional Coder
American Health Information Management Association
Certified Radiology Coder
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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