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Humana Careers 14 Jobs in Virginia

  • Medical Director- South Central

    Humana - Richmond, Virginia
    ... 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- South Central

    Humana - Charleston, West Virginia
    ... 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 ...
  • Job Posting Title Senior Care Manager, Telephonic Behavioral Health (BCBA)

    Humana - Charleston, West Virginia
    ... position with responsibility for utilization management and clinical decision-making as outlined in the ... associate will conduct clinical necessity reviews for requested ABA services when approving all treatment ...
  • Job Posting Title Senior Care Manager, Telephonic Behavioral Health (BCBA)

    Humana - Richmond, Virginia
    ... position with responsibility for utilization management and clinical decision-making as outlined in the ... associate will conduct clinical necessity reviews for requested ABA services when approving all treatment ...
  • Medical Director - Mid West Region

    Humana - Richmond, Virginia
    ... organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical ... national clinical guidelines, CMS policies and determinations, clinical reference materials, internal ...
  • Medical Director - Mid West Region

    Humana - Charleston, West Virginia
    ... organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical ... national clinical guidelines, CMS policies and determinations, clinical reference materials, internal ...
  • Medical Director - Gulf South

    Humana - Charleston, West Virginia
    ... 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 - Gulf South

    Humana - Richmond, Virginia
    ... organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical ... assisted by diverse resources which may include national clinical guidelines, CMS policies and ...
  • Delaware Valley ACO Fellowship/Provider Engagement Professional

    Humana - Charleston, West Virginia
    ... , 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 Director - Southeast Region

    Humana - Richmond, Virginia
    ... / 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 ...
  • Medical Director - Southeast Region

    Humana - Charleston, West Virginia
    ... / 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 - Richmond, Virginia
    ... , 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 - Richmond, Virginia
    ... 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 ...
  • Medical Coding Auditor-Oncology

    Humana - Charleston, West Virginia
    ... 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 ...