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Health Plan Experience Remote Jobs

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9 fresh jobs found
Accreditation Manager
Remote US, United States Humana logo Humana
NCQA Accreditation Continuous process improvement Team Engagement Health Plan Experience Judgement Functional strategies NCQA LESS Accreditation +44
Mid Full Time
USD 94K+
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Utilization Management Registered Nurse
Remote US, United States Humana logo Humana
Medicaid Experience Interpreting Criteria Health Plan Experience Microsoft Office Word Clinical Nursing Medical Services Rehabilitation LESS Registered Nurse +49
Mid Full Time
USD 71K+
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Pre-Authorization Registered Nurse
Remote US, United States Humana logo Humana
Medical management systems Rehab Medicaid Experience Health Plan Experience Microsoft Office Word Clinical Nursing InterQual MCG Rehabilitation +53
Mid Full Time
USD 71K+
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Senior Accreditation Professional
Remote US, United States Humana logo Humana
NCQA Accreditation Long Term Services and Supports Team Engagement Continuous process improvement Health Plan Experience Functional strategies Long Term Care Judgement LESS +46
Senior Mid Full Time
USD 78K+
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Manager, Utilization Management Registered Nurse
Remote US, United States Humana logo Humana
Interpreting Criteria Medicaid Experience Tactical Operations Microsoft Office Word Health Plan Experience Clinical Nursing Medical Services Rehabilitation LESS +56
Mid Full Time
USD 94K+
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Utilization Management Nurse 2-Remote, US
Work at Home - Kentucky, United States Humana logo Humana
Technical Savvy CGX Health Plan Experience Home Health Mobile Productivity Consumer Experiences Data interpretation Value-based care +50
Mid Full Time
USD 71K+
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Utilization Management Review Nurse 2
Remote US, United States Humana logo Humana
Interpreting Criteria Health Plan Experience Clinical Nursing Medical Services Rehabilitation Acute care Consumer Experiences Health outcomes Registered Nurse +47
Mid Full Time
USD 71K+
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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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