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Humana Careers 22 Jobs in New Hampshire

  • Medical Director - Florida

    Humana - Concord, New Hampshire
    ... of service should be authorized. All work occurs with a context of regulatory compliance, and work is ... compliance timelines. Supports the assigned work with respect to market-wide objectives (e.g. Bold Goal) and ...
  • Medical Director - Gulf South

    Humana - Concord, New Hampshire
    ... of service should be authorized. All work occurs with a context of regulatory compliance, and work is ... compliance timelines. Supports the assigned work with respect to market-wide objectives (e.g. Bold Goal) and ...
  • Medical Director- South Central

    Humana - Concord, New Hampshire
    ... within a context of regulatory compliance, and work is assisted by diverse resources, which may include ... authorship. Exercises independence in meeting departmental expectations, and meets compliance timelines ...
  • Compliance Professional 2

    Humana - Concord, New Hampshire
    ... Become a part of our caring community and help us put health first The Compliance Professional 2 ensures compliance with governmental requirements. The Compliance Professional 2 work ...
  • Senior Accreditation Utilization Management Professional

    Humana - Concord, New Hampshire
    ... , performing complex tasks related to compliance with accreditation standards across multiple operational areas ... Accreditation UM requirements, advising stakeholders on compliance, and facilitating NCQA UM survey activities ...
  • Senior Workforce Management Professional

    Humana - Concord, New Hampshire
    ... and development, talent management, diversity and human resource compliance). The Senior Workforce ... services, we make it easier for the millions of people we serve to achieve their best health - delivering ...
  • Director, Actuarial of Medicaid Pricing

    Humana - Concord, New Hampshire
    ... , compliance, and operations. Decisions are typically related to the implementation of new/updated programs or ... company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for ...
  • Director, Provider Credentialing

    Humana - Concord, New Hampshire
    ... productivity goals, and to ensure consistency across staff performance in credentialing. It is a critical role ... compliance and quality assurance teams to ensure all relevant quality standards and operational policies ...
  • Junior Data Engineer- Test Data Management

    Humana - Concord, New Hampshire
    ... . Familiarity with healthcare industry standards and compliance requirements. **Use your skills to make an ... Humana insurance services and CenterWell healthcare services, we make it easier for the millions of ...
  • Senior Medical Financial Risk Evaluation Consultant

    Humana - Concord, New Hampshire
    ... trends Compliance experience Additional Information Travel- 10% Hours- 8am ... Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of ...
  • Southeast Medicaid Medical Director

    Humana - Concord, New Hampshire
    ... service should be authorized. All work occurs with a context of regulatory compliance, and work is ... , authorship, and meeting compliance timelines. Occasional limited weekends required. All other ...
  • Lead Systems Engineer

    Humana - Concord, New Hampshire
    ... overseeing a variety of complex systems and projects. This includes managing policy, compliance, and ... applicants may be asked to provide their Social Security Number, if it is not already on file. When required ...
  • Medicare Grievances and Appeals Corporate Medical Director

    Humana - Concord, New Hampshire
    ... healthcare professionals in compliance with CMS guidelines, clinical coverage criteria, and quality standards ... services, we make it easier for the millions of people we serve to achieve their best health - delivering ...
  • Medical Coding Auditor

    Humana - Concord, New Hampshire
    ... Perform CPT/HCPCS Procedure reviews Conduct peer reviews to ensure compliance with coding guidelines ... Qualifications - What it takes to Succeed** * CPC, CCS, ROCC, RHIA, or RHIT Certification with a minimum ...
  • Behavioral Health Medical Director - Medicare

    Humana - Concord, New Hampshire
    ... . All work occurs within a context of regulatory compliance and work is assisted by diverse resources ... . Through our Humana insurance services and CenterWell healthcare services, we make it easier for the ...
  • Medical Cost Management Strategy Advancement Advisor

    Humana - Concord, New Hampshire
    ... ) Lead Trend Enterprise Independency Management with prioritized enterprise partners including IT, Legal, Regulatory Compliance, Risk and Procurement Orchestrate connectivity to matrixed enterprise teams ...
  • Medical Director - Mid West Region

    Humana - Concord, New Hampshire
    ... regulatory compliance, and work is assisted by diverse resources, which may include national clinical ... departmental expectations and meets compliance timelines. **Use your skills to make an impact ...
  • Associate VP, Financial Planning & Analysis- Humana Military

    Humana - Concord, New Hampshire
    ... maintenance and compliance and Cost Accounting Standard (CAS) compliance are additional functional tasks ... setting process and ensuring compliance. Interfaces with EC members to ensure reporting and analysis is ...
  • Senior Provider Reimbursement Professional (MCCAU Coded Policy Team)

    Humana - Concord, New Hampshire
    ... process recommendations and ensures compliance with government regulations. Analyzes provider ... . Use your skills to make an impact Required Qualifications - What it takes to Succeed 2 ...
  • Group Medicare Proposal Development/Contract Review Professional

    Humana - Concord, New Hampshire
    ... business partners to ensure compliance with appropriate laws, regulations, corporate policies and business ... Humana insurance services and CenterWell healthcare services, we make it easier for the millions of ...
  • National Medicaid Medial Director - Long Term Services & Supports (LTSS)

    Humana - Concord, New Hampshire
    ... occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may ... responsibility is expected though it may occur Work at Home Guidance To ensure Home or Hybrid Home ...
  • Sr Agency Professional - Finance/Accounting

    Humana - Concord, New Hampshire
    ... Management Professional provides support for handling and analyzing data that pertains to the compliance and ... it pays as it should over a period of time. Multitask by organizing workload and juggling ...
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