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10 fresh jobs found
Configuration System Analyst II - Benefits Configuration
Mississippi WFH, United States CareSource logo CareSource
Configuration Analysis Use-Case Analysis ICD-CM Codes DRG reimbursement Reimbursement methods HCPCS codes HIPAA codes APC reimbursement Database relationships +48
Mid Full Time
USD 63K+
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Payment Cycle Analyst III
Mississippi WFH, United States CareSource logo CareSource
Claims Payment Systems Claims operations Apc Payment methodologies Health Plan Operations Health Plan Experience Facets DRG Microsoft Visio +35
Senior Mid Full Time
USD 63K+
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Configuration Analyst III - (SDET/Automation experience)
Dayton WFH, United States CareSource logo CareSource
ICD-CM Codes HCPCS codes DRG reimbursement HIPAA codes Reimbursement methods Apc Database relationships APC reimbursement Clinical editing +41
Senior Full Time
USD 81K+
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Configuration Systems Analyst III (Networx/Pricing)
PA WFH, United States CareSource logo CareSource
Reimbursement methods Clinical editing APC reimbursement Database relationships Regulatory Interpretation Configuration Software Health Plan Experience Facets DRG +30
Senior Full Time
USD 81K+
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Manager, Service Coordination
Work at Home - Virginia, United States Humana logo Humana
Interpreting Data Health Plan Experience Rating Health promotion Rehabilitation Supervisory experience Driver safety program Multilingual Microsoft Office Applications +54
Mid Full Time
USD 25K+
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Manager, Care Management (LTSS - ABD)
Work at Home - Virginia, United States Humana logo Humana
Interpreting Data Health Plan Experience Rating Supervisory experience Multilingual Rehabilitation Health promotion Microsoft Office Applications Driver safety program +54
Mid Full Time
USD 25K+
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Accreditation Manager
Remote US, United States Humana logo Humana
Accreditation management NCQA Compliance Continuous process improvement Health Plan Experience Functional strategies NCQA Judgement Accreditation LESS +42
Senior Mid Full Time
USD 94K+
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Post-Acute Utilization Management Nurse (Gulf South Region)
Work at Home - Tennessee, United States Humana logo Humana
Interpreting Criteria Rehab Health Plan Experience CMS guidelines Clinical Nursing Medical Services Consumer Experiences Discharge planning CMS +41
Mid Full Time
USD 71K+
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Utilization Management Nurse (Gulf South Region)
Work at Home - Louisiana, United States Humana logo Humana
Milliman Interpreting Criteria Health Plan Experience MCG Clinical Nursing Medical Services Acute care Consumer Experiences Discharge planning +46
Mid Full Time
USD 71K+
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Utilization Management Review Nurse
Remote US, United States Humana logo Humana
Interpreting Criteria Health Plan Experience Clinical Nursing Rehabilitation Medical Services Health outcomes Acute care Consumer Experiences Registered Nurse +46
Mid Full Time
USD 71K+
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