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Description The Claims Processing Representative 3 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Claims Processing Representative 3 performs advanced administrative/operational/customer support duties that require ..
Description Humana's National Medicaid Quality team is seeking a Market Consultant to be responsible for supporting individual Medicaid market quality teams and serving as the main relationship broker and liaison to ..
Description Responsibilities As a Sr Quality Engineer, you will be working closely with the interoperability development team as well as senior product owners and testers. The Sr Quality Engineer will understand ..
Description Humana is seeking an experienced professional to be part of the weekend user acceptance testing and team with broad impact and scope across the YHA and SNP lines of business. ..
Job Information Humana Bilingual Quality Auditor in Brentwood Tennessee Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
Description The Senior Data Quality/Integrity Engineer understands end-to-end master data processes and flows and uses that knowledge to design and implement master data management solutions. The Senior Data Quality/Integrity Engineer work ..
Description The Senior Quality Improvement Professional will focus organizational efforts on improving South Carolina Medicaid clinical quality performance measures to achieve optimal performance and quality for the Humana Healthy Horizons in ..
Job Information Humana Call Quality Coach in Brentwood Tennessee Description The Call Quality Coach (Call Quality Professional 2) monitors and evaluates the quality of inbound and/or outbound customer service calls. Documents ..
Job Information Humana MarketPOINT Call Quality Coach in Brentwood Tennessee Description Help our team achieve their best! Are you detail oriented? Do you have experience with coaching or providing feedback? Do ..
Description In this key role on the Quality Systems Integration (QSI) team, the QSI Lead Data Quality / Integrity Engineer will leverage their Humana, clinical data, market, and healthcare expertise to ..
Job Information Humana Call Quality Coach (Call Quality Professional 2) in Brentwood Tennessee Description The Call Quality Coach (Call Quality Professional 2) provides information to assist in the feedback and formal ..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Brentwood Tennessee Description The Quality (Non-Calls) Professional 2 ensures that products meet specific Centers ..
Description Responsibilities Call Quality Professionals provide information that will assist in the feedback and the formal education process of MarketPOINT Sales Agents. This position will oversee the Call Quality process which ..
Description The Software Quality Engineering Testing Technician 4 carries out procedures to ensure that all information systems, software applications, products and services meet organizational quality standards and end-user requirements. The Software ..
Description The Medicare Advantage Actuarial Model Team is seeking a Senior Software Quality Testing Engineer that will be uniquely focused on maintaining and improving testing and overall quality of the pricing ..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Brentwood Tennessee Description The Quality (Non-Calls) Professional 2 ensures that products ..
Job Information Humana Quality Improvement Coordinator in Brentwood Tennessee Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The ..
Job Information Humana Call Quality Coach (Call Quality Professional 2) REMOTE in Brentwood Tennessee Description The Call Quality Coach (Call Quality Professional 2) provides information to assist in the feedback and ..
Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US in Brentwood Tennessee Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Professional who will manage and ..
Description Do you thrive on working on the cutting edge and working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave ..