8 general medicine jobs found

Become a part of our caring community and help us put health first Do you have a passion for architecting robust data ecosystems? Are you energized by advancements in artificial intelligence? Do you see opportunities to transform business strategy by integrating emerging technologies into critical operations? As a Lead Data Engineer at Humana, you will play a pivotal role in designing and implementing next-generation, compliance-focused solutions that drive innovation in data governance and protection. Humana seeks a Lead Data Engineer with a strategic mindset and deep technical expertise to advance our enterprise data governance architecture and processes. This role emphasizes integrating artificial intelligence (AI), machine learning (ML), and modern cloud-native platforms with state, federal, and enterprise policies. The successful candidate will lead initiatives that enable scalable, compliant, and future-ready data solutions across the organization. Key...

Company : Highmark Inc. Job Description : JOB SUMMARY This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including...

Become a part of our caring community and help us put health first The Software Engineer 2 codes software applications based on business requirements. The Software Engineer 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Software Engineer 2 standardizes the quality assurance procedure for software. Oversees testing and debugging and develops fixes. Researches complaints and makes necessary adjustments and/or recommendations to resolve complex software related issues. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications Bachelor's Degree in Computer...

Become a part of our caring community and help us put health first The Lead Systems Engineer is responsible for design, analysis, configuration and maintenance of complex systems software solutions in a virtual environment, based on a thorough knowledge of systems engineering and programming concepts and techniques. Systems software engineering/programming is a specialized area of software engineering/programming focused on software that operates/controls computer hardware and provides a platform for running end user applications. Includes operating systems, device drivers, utilities, and software; development tools (e.g., assemblers, compilers, etc.). The Lead Systems Engineer works on problems of diverse scope and complexity ranging from moderate to substantial. The Lead Virtualization Engineer is responsible for architecting, implementing, and maintaining enterprise-grade virtual environments that support the organization's critical applications and services. This...

Become a part of our caring community and help us put health first The Software Engineer 2 codes software applications based on business requirements. The Software Engineer 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Software Engineer 2 standardizes the quality assurance procedure for software. Oversees testing and debugging and develops fixes. Researches complaints and makes necessary adjustments and/or recommendations to resolve complex software related issues. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications Bachelor's Degree in Computer...

The University of Iowa Health Care department of Patient Financial Services is seeking a Coding Representative for an entry-level financial and insurance related position in the healthcare industry. In this role, you will review coding denials and determine if you need to assign new ICD-10 codes and CPT codes for professional outpatient services and professional inpatient services. The Coding Denial Follow Up Team (CDFT) Medical Coder will provide exceptional customer service to our external customers: patients, insurance contacts, etc; as well as internal customers. You will support our “Service Excellence” standards to all our customer groups, utilize tools and processes to make independent decisions and you will maintain integrity and treat internal and external customers respectfully. This position is eligible to participate in remote work and applicants who wish to work remotely will be considered. Training will be held either ONSITE or via ZOOM from the HSSB building at...

Become a part of our caring community and help us put health first The Business Intelligence Engineer 2 is responsible for solving complex business problems and issues using data sourced from both internal and external systems to provide actionable insights for decision-makers. Assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Business Intelligence Engineer 2 utilizes a variety of tools, technologies, applications, and best practices to collect, integrate, analyze, and present organizational data. The goal is to transform raw data into meaningful business information that supports strategic and operational objectives. The individual in this role will receive requirements from Business value streams and make decisions on how best to implement desired solutions. Adherence to established guidelines and procedures is expected. Use your skills to make an impact Required Qualifications:...

Position Summary JOB DESCRIPTION A Cooling CE is responsible for installation, commissioning, scheduled and emergency service on Liebert Air products. The Cooling CE is required to establish, promote and maintain excellent rapport with all customers, co-workers, sales representatives and others as appropriate. The Cooling CE is also required to maintain continuous communication with Area/District Offices, and direct manager. Responsibilities ROLE Rely on direction to accomplish goals Perform a number of work-related tasks Capable of working under direct supervision or independently based upon training Maintain certifications per Job requirements TECHNICAL Render on site and phone assistance to customers. Communicate with National Technical Support on equipment issues Perform work related tasks according to company guidelines for scheduled maintenance Implement Field Change Notices according to published guidelines Keep current on Safety Bulletins,...