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Results based on filters ( 2926 jobs found )

Fraud and Waste Investigator

Humana
Louisiana
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Key Facts Remote From: Louisiana (USA) Full time Mid-level (2-5 years) ...
Details
Summary
About the job:
English Hard Skills Fraud Investigation Health Reimbursement Arrangement Medical Record Management Auditing Evidence Analysis Auditing Compliance Management Law Enforcement Investigative Interviewing Quantitative Analysis Claims And Litigation Management IBM Lotus Word Pro Business Operations Physician Credentialing C-Suite Experience Medical Practice Experience Other Skills • Report Writing • Communication • Teamwork • Organizational Skills • Analytical Thinking • Social Skills Less More Roles & Responsibilities Must...
Location:
Louisiana
Job Type:
Full-Time
Permanent
Occupation:
Fraud Examiners, Investigators and Analysts
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Jobgether
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Dental Fraud Evaluation Professional

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 Dental/Financial Risk Evaluation Professional 2 is responsible for supporting the development, implementation and monitoring of dental/financial risk. The Dental/Financial Risk Evaluation Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This role is a critical component within the Fraud Research Analytics and Concepts (FRAC) Department and the Special Investigations Unit (SIU). It serves as the primary resource for...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Actuaries
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

Director of Product Design - Channels

Humana
Located in Ohio
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data-type="string"> Description : **Become a part of our caring community** ...
Details
Summary
About the job:
Humana is deeply committed to delivering innovative digital experiences that enhance quality of life and improve how people engage with us. We serve a diverse ecosystem—consumers, members, providers, employers, and brokers—connecting them to Humana and to one another in ways that drive satisfaction, engagement, and measurable business value. Our Enterprise Digital team is a multidisciplinary, experience led group focused on solving customer needs while enabling strategic and operational goals. This leader will be...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Web and Digital Interface Designers
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

Senior IT Procurement Professional; Software Renewals

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 IT Procurement Professional; Software Renewals is responsible for strategically processing and negotiating complex software renewals to optimize value, mitigate risk, and ensure compliance with organizational policies. This role leverages deep expertise in IT procurement to drive cost-effective solutions and maintain strong vendor relationships that support the enterprise’s technology objectives. The Senior IT Procurement Professional; Software Renewals delivers effective and timely end-to-end processing of...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Computer and Information Systems Managers
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 Auditor

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 Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions...
Location:
Located in Ohio
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:
ICD-10 / ICD-9
Certified Coding Specialist
Registered Health Information Administrator
Registered Health Information Technician
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Lead Sales Support

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 Lead Sales Support Professional provides will report to the Director. You will be responsible for timely and effective sales administrative support to assist with the acquisition or retention of customers. This role is responsible for sales enablement and operational effectiveness across Reliance Call Center and CST by serving as a strategic connector across functions and leading high‑impact initiatives. **The Sales Enablement Lead will be accountable to:** + **Serve as the primary liaison** between Sales...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Market Research Analysts and Marketing Specialists
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

Bilingual RN Care Manager - Remote, nationwide

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 Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. **The first 4 weeks of training will be from 8:30AM to 5:00PM EST. No time off is permitted during the first month of training.** **Following training,...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
De jobs
Certifications / Licenses:
Certified Registered Nurse
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medical Director - Inpatient Review

Humana
Saint Paul, MN
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**Become a part of our caring community**The Medical Director relies on ...
Details
Summary
About the job:
medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.Join a distinguished team of physicians dedicated to advancing the quality of inpatient care through clinical expertise and thoughtful medical necessity review. This position is well-suited for physicians who excel in case analysis, structured decision-making, and collaboration, offering an opportunity...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
Board Certified
Medical License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Lead Sales Support

Humana
Saint Paul, MN
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**Become a part of our caring community**The Lead Sales Support Professional ...
Details
Summary
About the job:
provides will report to the Director. You will be responsible for timely and effective sales administrative support to assist with the acquisition or retention of customers.This role is responsible for sales enablement and operational effectiveness across Reliance Call Center and CST by serving as a strategic connector across functions and leading high‑impact initiatives.**The Sales Enablement Lead will be accountable to:**+ **Serve as the primary liaison** between Sales Operations, Technology, Reporting/Analytics,...
Location:
Saint Paul, MN
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

Director of Product Design - Channels

Humana
Saint Paul, MN
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Save to My Profile
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See who you know on LinkedIn
Report this job
**Become a part of our caring community**Humana is deeply committed to ...
Details
Summary
About the job:
delivering innovative digital experiences that enhance quality of life and improve how people engage with us. We serve a diverse ecosystem-consumers, members, providers, employers, and brokers-connecting them to Humana and to one another in ways that drive satisfaction, engagement, and measurable business value. Our Enterprise Digital team is a multidisciplinary, experience led group focused on solving customer needs while enabling strategic and operational goals.This leader will be responsible for transforming fragmented...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Web and Digital Interface Designers
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
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