Covington, Louisiana, United States · Hybrid
$71k–$98k/yr
Become a part of our caring community The Senior Coding Educator identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. You will report to the Manager…
Skills: Medical Record Review, ICD-10 Coding, Risk Adjustment Strategy, Data Analysis, Public Speaking
United States · Remote OK
$168k–$231k/yr
Become a part of our caring community As Director, Executive Visibility and Reputation, you will lead the strategy and execution of a comprehensive visibility program for CenterWell executive leadership. This role is res…
Skills: Executive Visibility Strategy, Corporate Communications, Thought Leadership, Executive Storytelling, Social Media Strategy
United States · Remote OK
$126k–$174k/yr
Become a part of our caring community The CRM Marketing Lead for CenterWell Customer Onboarding, Retention and Engagement defines and drives the strategic vision for customer lifecycle marketing initiatives that accelera…
Skills: Lifecycle Marketing, Customer Engagement, Omni-channel Marketing, Journey Orchestration, CRM Tools
South Carolina, United States · Hybrid
$42k–$57k/yr
Become a part of our caring community The Community Health Worker (CHW) 1 serves as a liaison between health and social services and the community, identifying health-related issues, collecting data, and discussing conce…
Skills: Community Resource Navigation, Case Management, Member Engagement, Microsoft Office, Advocacy
Fort Lauderdale, Florida, United States · Remote OK
$86k–$119k/yr
Become a part of our caring community The IT Project Manager oversees various system projects and/or programs of a highly complex nature. The IT Project Manager work assignments involve moderately complex to complex issu…
Skills: IT Project Management, Workflow Automation, Storage Systems, Project Planning, Risk Management
Fort Lauderdale, Florida, United States · Hybrid
$168k–$231k/yr
Become a part of our caring community The Director, PMO Shared Technologies & Platforms is responsible for leading a centralized enterprise Program Management function across core technology domains, including Infras…
Skills: Program Management, Enterprise Governance, AI Strategy, Data Governance, Agile
South Carolina, United States · Hybrid
$59k–$81k/yr
Become a part of our caring community The Behavioral Health Care Manager (Care Manager, Telephonic Behavior Health 2) in a telephonic environment, assesses and evaluates members' needs and requirements. This is done to a…
Skills: Behavioral Health Assessment, Care Coordination, Care Management, Case Management, Patient Education
Colorado, United States · Remote OK
$139k–$191k/yr
Become a part of our caring community The Director, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Director, Provider Contracting require…
Skills: Provider Contracting, Contract Negotiation, Financial Acumen, Leadership, Teambuilding
Jacksonville, Florida, United States · Hybrid
$95k–$131k/yr
Become a part of our caring community The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Provider Contracting Executive works o…
Skills: Provider Contracting, Hospital Contracting, Network Administration, Financial Analysis, Rate Proposal Development
Baton Rouge, Louisiana, United States · Hybrid
$71k–$98k/yr
Become a part of our caring community The Field Care Manager Nurse (Physical Health) plays a critical role in assessing and coordinating care to support members in achieving and maintaining health outcomes. The Field Car…
Skills: Case Management, Clinical Assessment, Care Coordination, Patient Advocacy, Electronic Medical Records
United States · Remote OK
$107k–$147k/yr
Become a part of our caring community The Technology Implementation Lead delivers new technological solutions to meet business needs within a specified scope while aligned to enterprise objectives. The Technology Impleme…
Skills: Project Leadership, Systems Development Life Cycle, Waterfall Methodology, Agile Development, IT Business Analysis
United States · Remote OK
$118k–$162k/yr
Become a part of our caring community The Business Intelligence Lead is an individual contributor role embedded into a digital product team. This is not a generalist analytics role but requires someone who has spent thei…
Skills: Product Analytics, SQL, PowerBI, Python, A/B Testing
United States · Remote OK
$71k–$98k/yr
Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM…
Skills: Inpatient Medical Coding, ICD-10-CM, CPT, MS-DRG, Medical Auditing
Fort Lauderdale, Florida, United States · Remote OK
$89k–$121k/yr
Become a part of our caring community The Senior Problem, Incident, and Event Management Engineer is responsible for advancing enterprise event correlation, observability, and incident detection capabilities to proactive…
Skills: Splunk ITSI, Dynatrace, ServiceNow ITSM, Event Correlation, Observability Engineering
United States · Remote OK
$95k–$131k/yr
Become a part of our caring community As a Senior Marketing Data Product Owner, you’ll support the development and optimization of marketing data products that enable marketing teams to deliver personalized, effective ca…
Skills: Product Ownership, Agile Frameworks, SQL, Product Roadmap Management, Backlog Prioritization
United States · Remote OK
$86k–$119k/yr
Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete docume…
Skills: ICD-10-CM Coding, Risk Adjustment, Medical Record Review, CMS-HCC Models, Coding Validation
Indiana, United States · Remote OK
$54k–$73k/yr
Become a part of our caring community The Field Service Coordinator (Care Coach 1) assesses and evaluates member's needs. We do this to achieve and/or maintain an optimal wellness state. The coordinator guides members/fa…
Skills: Case Management, Person-Centered Thinking, LTSS Assessments, Care Planning, Member Advocacy
New York, New York, United States · Hybrid
$142k–$196k/yr
Become a part of our caring community Humana is seeking an Associate Director, IT Portfolio Management to lead the new Quality Engineering Program Management team. In this role, you will provide operational enablement an…
Skills: IT Portfolio Management, Quality Engineering, Financial Planning, Resource Planning, Vendor Management
Corpus Christi, Texas, United States · On-site
$77k–$106k/yr
Become a part of our caring community Professional member of patient’s treatment team who provides skilled nursing visits in patient’s home under the direction of plan of treatment stablished with physician and input fro…
Skills: Patient Assessment, OASIS Data Collection, Care Plan Implementation, Skilled Nursing, Patient Safety
Louisiana, Missouri, United States · Remote OK
$115k–$158k/yr
Become a part of our caring community The Program Delivery Lead manages the development, operations, and results of the Gulf South Region market performance under direction of the Regional President and Regional VP of Op…
Skills: Program Management, Project Leadership, People Leadership, Executive Communication, Stakeholder Management
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
The Senior Coding Educator creates and executes risk adjustment strategies and tailored education plans for provider groups. They analyze data to provide educational sessions aimed at improving documentation quality and coding accuracy.
Candidates must hold an AAPC CPC certification and have at least 2 years of medical record review experience. Proficiency in Microsoft Office and the ability to reside in or relocate to Louisiana or Mississippi is required.
As the Senior Coding Educator you will be
Responsible for creating and executing the risk adjustment strategy for each provider groups.
Analyze data and reporting and provides educational sessions with providers aimed at quality of care, documentation and coding improvements.
Collaboration with relationship owners and HQRI
Monitor and develops strategy with Coding educator and leader, tailor's provider group webinars and discussions based on various MRA topics.
Creates compliant PowerPoint Presentations tailored to group strategy
AAPC CPC (Certified Professional Coder) Certification
2 or more years of medical record review knowledge
Familiar with coding guidelines (i.e. ICD-9/ICD-10)
Reside in LA or MS or willing to relocate within 6 months
Microsoft Word (creating documents) and Excel (formulas, pivot tables)
PowerPoint (creating and presenting)
Analyzing Data to drive process improvement
Experience with public speaking /presentation skills
Bachelor's degree
Shreveport, LA within an hour
Certified Risk Coder (CRC)
Experience interacting with healthcare providers
Medicare Risk Adjustment knowledge
Analyzing data to build unique education strategies in PowerBi
Work at home - with ability to travel (up to 35% to surrounding provider offices)
In person meetings, quarterly
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
#LI-BB1
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana will never ask, nor require a candidate to provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact [email protected] to validate the request At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
Offices: 500 W Main St, Louisville, Kentucky, US · 550 W Adams St, Chicago, IL 60661, US
Humana will never ask, nor require a candidate to provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact [email protected] to validate the request At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
Offices: 500 W Main St, Louisville, Kentucky, US · 550 W Adams St, Chicago, IL 60661, US
