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Results based on filters ( 2525 jobs found )

Medical Record Retrieval Specialist - Bullhead Market

Humana, Inc.
Las Vegas, NV
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Become a part of our caring community The Medical Records Retrieval ...
Details
Summary
About the job:
Specialist conducts quality assurance audits of medical records and diagnosis codes and measures submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. This is a remote role with field‑based responsibility, requiring some travel to provider offices to retrieve, review, and validate medical records on‑site. The Medical Records Retrieval Specialist performs moderately complex administrative and operational tasks within a structured environment, with a focus on accuracy, compliance, and...
Location:
Las Vegas, NV
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Humana, Inc.
Certifications / Licenses:
ICD-10 / ICD-9
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

National Dental Contracting Professional - Medicaid - VSP

Humana
Columbus, OH
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**Become a part of our caring community**The National Dental Contracting ...
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Summary
About the job:
Professional - Medicaid is responsible for identifying, engaging, and contracting with qualified dentists to join the insurance carrier's Medicaid dental network. This role ensures the network meets accessibility, quality, and compliance standards as required by Medicaid regulations and company policies. You will develop relationships with dental providers, manages the contracting process, and supports provider onboarding to enhance member access to dental care.Responsibilities of the National Dental Contracting...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
US.jobs
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Value-Based Programs Analyst

Humana
Columbus, OH
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**Become a part of our caring community**Are you ready for a great job? The ...
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Summary
About the job:
Value-Based Programs Analyst 2 supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Value-Based Programs Analyst 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of actionThe Value-Based Programs Analyst understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas to include, but not...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Business Intelligence Analysts
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Project Management Lead

Humana
Columbus, OH
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**Become a part of our caring community**This Project Management Lead to ...
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Summary
About the job:
provide strategic leadership and direction on enterprise-level projects. The ideal candidate will be a trusted advisor and thought leader, responsible for ensuring delivery excellence across multiple, complex initiatives. This position will play a critical role in advancing Humana's technology and business transformation objectives by aligning project management practices with organizational goals.+ Lead, mentor, and develop project management teams on best practices, adherence to processes, and continuous improvement.+...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Project Management Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
Project Management Professional
Program Management Professional
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Supervisor, Encounter Data Management

Humana
Columbus, OH
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**Become a part of our caring community**The Supervisor, Encounter Data ...
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Summary
About the job:
Management develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare. Ensures encounter submissions meet or exceed all compliance standards via analysis of data, and develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looks for long term improvements of encounter submission processes. Decisions are typically are related to schedule, plans and daily operations. Performs escalated or more complex work of a similar nature, and...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Clinical Data Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Stars Program Delivery Lead - Colon Cancer Screening

Humana
Columbus, OH
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**Become a part of our caring community**The Stars Program Delivery Lead ...
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Summary
About the job:
strategically identifies, develops, and implements programs that influence providers, members or market leadership towards value-based relationships and/or improved quality metrics. The Program Delivery Lead works on problems of diverse scope and complexity ranging from moderate to substantial.**Location:** remote (If in driving distance to Louisville office, role will be hybrid which is a combination of in office and work at home)_Apply in-depth and broad knowledge of HEDIS measures to develop strategy and implement...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Analytics Strategy Enablement Lead

Humana
Columbus, OH
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**Become a part of our caring community**The Innovation Portfolio Strategy ...
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Summary
About the job:
Advisor utilizes ideas, identifies innovation opportunities, and translates ideas into actionable and profitable business. The Innovation Portfolio Strategy Advisor works on problems of diverse scope and complexity ranging from moderate to substantial._Primary Responsibilities_**Strategic Planning & Execution Support**+ Partner closely with the Director and senior leaders to support development and execution of the organization's strategy, including vision, mission, annual plans, OKRs, and long-range priorities.+...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Data Engineer

Humana
Columbus, OH
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**Become a part of our caring community**The Senior Data Engineer designs, ...
Details
Summary
About the job:
builds, and maintains data processing solutions that enable the efficient transformation of structured and unstructured data into meaningful insights. Working closely with engineers and cross functional partners, this role contributes to data ingestion from internal and external sources using cloud‑native platforms, established engineering best practices, and proven design patterns.This position supports the design, development, and maintenance of scalable data solutions and supporting software applications based on...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Data Warehousing Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Configuration Management Analyst

Humana, Inc.
Fort Lauderdale, FL
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Become a part of our caring community Join Humana’s journey to provide a ...
Details
Summary
About the job:
highly reliable, accurate, and dynamic Configuration Management Database (CMDB) that serves as the digital foundation for our IT operations. Over the next few years, our goal is to achieve holistic visibility of all configuration items—across both on-premises and cloud environments—with automated ownership and relationship management. As a Configuration Management Analyst, you will be instrumental in advancing our capabilities, leveraging AI-driven insights to accelerate change, reduce risk, and enable resilient,...
Location:
Fort Lauderdale, FL
Job Type:
Full-Time
Permanent
Occupation:
Industrial Engineers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Humana, Inc.
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Configuration Management Analyst

Humana, Inc.
Louisville, KY
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Become a part of our caring community Join Humana’s journey to provide a ...
Details
Summary
About the job:
highly reliable, accurate, and dynamic Configuration Management Database (CMDB) that serves as the digital foundation for our IT operations. Over the next few years, our goal is to achieve holistic visibility of all configuration items—across both on-premises and cloud environments—with automated ownership and relationship management. As a Configuration Management Analyst, you will be instrumental in advancing our capabilities, leveraging AI-driven insights to accelerate change, reduce risk, and enable resilient,...
Location:
Louisville, KY
Job Type:
Full-Time
Permanent
Occupation:
Industrial Engineers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Humana, Inc.
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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