Conduct audits of medical records and diagnosis codes, ensure accurate coding, and analyze coding information following regulations. Customer service experience is needed.

The Lead Product Owner leads the development of data products related to CMS Stars and HEDIS, ensuring data compliance and quality. Responsibilities include managing product backlog, collaborating with stakeholders, guiding technical solutions, and monitoring CMS requirements.

The Physical Therapist evaluates patients, establishes treatment plans, provides therapy, supervises assistants, and maintains documentation while adhering to policies and regulations.

The Strategy Advancement Advisor leads data-driven strategic planning to identify business issues, liaises with regulators, manages audits, and ensures compliance with Medicaid and Medicare regulations.

The Lead Full Stack Engineer will drive AI adoption, develop AI solutions, mentor teams, and ensure alignment with best practices across multiple platforms.

Lead technical onboarding and integration for pharmacy clients, coordinating teams to deliver secure integrations and achieve measurable outcomes.

The Policy Governance Lead oversees UM policy development, compliance monitoring, quality reporting, and stakeholder collaboration to align operations with regulatory standards.

The Senior Product Manager leads product lifecycle processes, engages in cross-functional collaboration, and optimizes product features related to healthcare claims, while ensuring compliance and managing stakeholder relationships.

The Director, Provider Engagement develops relationships with healthcare providers to improve financial and clinical performance, overseeing quality initiatives and operational excellence.

The Senior Cloud Solutions Engineer designs and develops cloud solutions, ensures integration and maintenance of big data applications primarily using Microsoft Azure, and collaborates with stakeholders to evaluate cloud systems.

The Manager, Risk Adjustment oversees quality assurance for medical coding, supervises associates, ensures regulatory compliance, and coordinates departmental activities.

The Scheduler role involves managing appointment scheduling, conducting daily phone calls, and maintaining organization in a fast-paced healthcare environment.

The Manager, Fraud and Waste leads investigations into allegations of fraud, overseeing audits, coordinating with law enforcement, preparing reports, and managing team collaboration for operational effectiveness.

The Pharmacy Director plans and monitors pharmacy activities, develops cost-mitigation strategies, and ensures compliance with regulations for a specialized health plan.

The Director of Content Design will lead content strategy for Consumer Digital at Humana, focusing on member experience and content delivery across various digital platforms while managing a team of content designers.

The Network Operations Coordinator manages provider relations, data integrity, audits, and coordinates service failures while overseeing administrative tasks.

As a Case Manager, you will assess and coordinate care for members in the Wisconsin Family Care program, helping them access resources and support services to enhance their quality of life.

The Provider Engagement Executive enhances relationships with healthcare providers to improve financial and quality performance, manages complex issues, and advises executives on strategic functions.

Lead and support a team in provider engagement and relations for Oklahoma's Medicaid plan, focusing on provider satisfaction, training, and compliance.

The Provider Engagement Executive builds relationships with healthcare providers to improve financial and quality performance, analyzes healthcare costs, and manages strategic initiatives.