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Humana Careers 10 Jobs in Oregon

  • Capture Lead, Medicaid Clinical & Population Health Strategy

    Humana - Salem, Oregon
    ... is seeking a Capture Lead, Clinical & Population Health Strategy, to lead initiatives developing and ... horizontally across the organization, coordinating with Medicaid and Medicare leadership and clinical subject ...

  • Medical Director - Florida

    Humana - Salem, Oregon
    ... national clinical guidelines, CMS policies and determinations, clinical reference materials, internal ... Medical Director's work includes computer based review of moderately complex to complex clinical scenarios ...

  • UM Administration Coordinator (Northeast Region)

    Humana - Salem, Oregon
    ... provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment ... providers to verify clinical information/discharge date and admission status Document calls and attach ...

  • Medical Director - Mid West Region

    Humana - Salem, Oregon
    ... / Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management ... regulatory compliance, and work is assisted by diverse resources, which may include national clinical ...

  • Data and Reporting Professional

    Humana - Salem, Oregon
    ... rates for provider contracts. Works on various projects related to the analysis of claims, clinical and financial data, with a focus on improvement of financial and/or clinical outcomes. Gathers ...

  • Medical Director- South Central

    Humana - Salem, Oregon
    ... national clinical guidelines, CMS policies and determinations, clinical reference materials, internal ... Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios ...

  • Medical Director - Gulf South

    Humana - Salem, Oregon
    ... organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical ... assisted by diverse resources which may include national clinical guidelines, CMS policies and ...

  • Medical Director - Southeast Region

    Humana - Salem, Oregon
    ... / Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management ... regulatory compliance, and work is assisted by diverse resources, which may include national clinical ...

  • Delaware Valley ACO Fellowship/Provider Engagement Professional

    Humana - Salem, Oregon
    ... , Practice Transformation, Data Analytics, Post-Acute Care and Clinical Quality, and the opportunity to ... tailor their experience through various projects in quality oversight, data reporting, performance ...

  • Medical Coding Auditor-Oncology

    Humana - Salem, Oregon
    ... provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT ... payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code ...