• Outpatient Medical Coding Auditor (PPI Coding…

    Humana (Denver, CO)
    ** Become a part of our caring community and help us...have the ability to provide a high speed DSL or cable modem for a home office. Associates or ... metrics-driven environment. If you are looking to work from home , for a Fortune 100 company that focuses on...posting. The pay range may be higher or lower based on geographic location and individual pay will vary… more
    Humana (04/25/24)
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  • Value Based Programs Lead

    Humana (Denver, CO)
    ** Become a part of our caring community and help us put health first** The Value- Based Programs Lead supports successful value- based provider relationships ... leading the beginning-to-end operational support of specialty Medicaid value based payment (VBP) models in alignment with segment strategy...a time that is best for your schedule.To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (04/18/24)
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  • Value Based Program - Data & Reporting Lead

    Humana (Denver, CO)
    ** Become a part of our caring community and help us put health first** The Value Based Programs Lead generates ad hoc reports and regular datasets and/or report ... information for end-users using queries and scripts to inform value- based payment (VBP) model design and administration. The Data...a time that is best for your schedule.To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (04/12/24)
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  • Associate Director, Medicaid Value Based

    Humana (Denver, CO)
    ** Become a part of our caring community and help us put health first** The Associate Director, Value- Based Solutions will be responsible for leading the ... operational performance of Humana Healthy Horizon's specialty value- based payment (VBP) model portfolio. The Associate Director will...a time that is best for your schedule.To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (04/12/24)
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  • Licensed Virtual Inside Sales Agent

    Humana (Denver, CO)
    ** Become a part of our caring community and...11:00 pm local time. _Hours are subject to change based on business needs_ + **Training Hours** - Training ... + Active resident Health insurance license for your state of residence ( based on the resident state's Department of Insurance requirements) + Flexibility -… more
    Humana (03/23/24)
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  • Business Intelligence Associate Director

    Humana (Denver, CO)
    ** Become a part of our caring community and help us put health first** The Associate Director, Business Intelligence will be responsible for leading the operational ... performance of Value- Based Specialist Programs within the Service Fund organization. Overseeing...internal policies, procedures and systems **Additional Information** Work at Home /Remote Requirements **Work-At- Home Requirements** + To ensure… more
    Humana (04/25/24)
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  • Senior Business Intelligence Data Analyst

    Humana (Denver, CO)
    ** Become a part of our caring community and help us put health first** Humana is seeking an individual for the Senior Business Intelligence Data Analyst to provide ... support for its expansion of value- based programs, working heavily with providers to achieve success on the Service Fund team. Humana is seeking an individual for… more
    Humana (04/25/24)
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  • Partner Sales Executive

    Humana (Denver, CO)
    ** Become a part of our caring community and...virtual pre-screen to take about 10-15 minutes. **Work at Home Connectivity Requirements** To ensure Home or ... ability to work effectively, the self-provided internet service of Home or Hybrid Home /Office associates must meet...to support Humana applications, per associate. + Wireless, Wired Cable or DSL connection is suggested. + Satellite, cellular… more
    Humana (04/24/24)
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  • Medical Director - Northeast Region

    Humana (Denver, CO)
    ** Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... this knowledge in their daily work. The Medical Director's work includes computer- based review of moderately complex to complex clinical scenarios, review of all… more
    Humana (04/25/24)
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  • Claims Research & Resolution Representative 2

    Humana (Denver, CO)
    ** Become a part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... Capacity to maintain confidentiality working remotely out of your home + Basic Microsoft Office (Word, Excel, Outlook, and...systems, policies, and tools, and it takes time to become proficient in the role. **You must be willing… more
    Humana (04/25/24)
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  • Senior Business Intelligence Engineer

    Humana (Denver, CO)
    ** Become a part of our caring community and help us put...have the right place for you at Humana. **Work at Home Guidance** To ensure Home or Hybrid Home ... resources available to you that will enable you to become happier, healthier, and more productive in all areas...ability to work effectively, the self-provided internet service of Home or Hybrid Home /Office associates must meet… more
    Humana (04/09/24)
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  • Senior Telecomm/Voice Engineer

    Humana (Denver, CO)
    ** Become a part of our caring community and help us put health first** Become a part of our caring community and help us put health first. Do you thrive on ... with product managers and engineers to develop specifications for new cloud- based products/services, applications, and solutions. Drives the roll-out of cloud… more
    Humana (04/25/24)
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  • Senior Business Intelligence Engineer

    Humana (Denver, CO)
    ** Become a part of our caring community and help us put health first** Humana is seeking a Senior Business Intelligence (BI) Engineer to join our world-class team. ... on continuously improving consumer experiences **Technical & Program Responsibilities** + Become an expert in HEDIS & Stars specifications, processes, and schedules… more
    Humana (04/25/24)
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  • Program Delivery Professional 2

    Humana (Denver, CO)
    ** Become a part of our caring community and help us put health first** Healthcare Quality Reporting & Improvement (HQRI) is an organization responsible for improving ... and deliver them to the markets + Ability to become a SME in various reporting platforms (ex. Availity,...Experience using or navigating Compass **Additional Information** To ensure Home or Hybrid Home /Office employees' ability to… more
    Humana (04/25/24)
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  • Lead SDLC Process Owner

    Humana (Denver, CO)
    ** Become a part of our caring community and help...significance + This role is a remote, work at home role anywhere in the US. Candidates in Louisville will ... have flexibility to work both in office and at home . **Required Qualifications** + Bachelor's degree or 5+ years...upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and… more
    Humana (04/06/24)
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  • Associate Director - Network Adequacy

    Humana (Denver, CO)
    ** Become a part of our caring community and...degree **Additional Information** This role is considered "remote/work at home " and can be based anywhere in ... being located within the Eastern Time Zone. **Work at Home Information** To ensure Home or Hybrid...upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular… more
    Humana (04/24/24)
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  • IT Cloud Procurement Category Lead

    Humana (Denver, CO)
    ** Become a part of our caring community and help us put health first** The Sr. Manager, Lead Category Manager will report directly into the Director of IT ... Category Manager investigates available products, evaluate and recommend products based on user requirements. Advises executives to develop functional strategies… more
    Humana (04/14/24)
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  • Utilization Behavioral Health Professional

    Humana (Denver, CO)
    ** Become a part of our caring community and...Rico. No matter where you are-whether you're working from home , from the field, from our offices, or from ... and explaining documents in Spanish **Additional Information** **Work at Home Guidance** To ensure Home or Hybrid...upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular… more
    Humana (04/25/24)
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  • Utilization Management Strategy Lead

    Humana (Denver, CO)
    ** Become a part of our caring community and help us put health first** The Clinical Strategy team is a multi-disciplinary team focused on creating data-driven ... They will expedite UM Strategy initiatives by making informed recommendations based on UM clinical and/or operational experience, enabling prioritization of highly… more
    Humana (04/25/24)
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  • RN, Utilization Management - Behavioral Health

    Humana (Denver, CO)
    ** Become a part of our caring community and help us put health first** Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health ... and communication of medical services. Enjoy the flexibility of Work-At- Home , from anywhere in the US, for a company...7:00 AM-5:30 PM CST.** Hours for this role are based on business need between that time frame. Individual… more
    Humana (04/25/24)
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