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Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
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Description The Credentialing Professional 2 obtains and reviews documentation to determine status in a health plan. The Credentialing Professional 2 work assignments are varied and frequently require interpretation and independent determination ..
... Including query creation. Excellent Time Management Preferred Qualifications Point of Sale ... Previous experience with pharmacy benefits management Previous vendor management experience Previous customer service experience ... timely Strong..
Description The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a framework ..
Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare, Medicaid, and Commercial product implementation, operations, contract compliance, and federal contract application submissions. ..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral ... involves processing referrals into medical management system with emphasis on accuracy ... answer provider/beneficiary inquiries. The Care Management Support..
Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..
Description The Senior Product Manager, Commercial Product supports development, delivery, and management of the pre-retiree product portfolio on behalf of both the Employer and Group Medicare businesses. By participating in and ..
... The Senior Demand and Portfolio Management Professional collaborates with the business ... The Senior Demand and Portfolio Management Professional work assignments involve moderately ... The Senior Demand and Portfolio..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
Description Responsibilities The Senior Insurance Product Manager monitors product performance and recommends changes, cost adjustments or resource additions. Engages in product bid filings, implementing product changes, and member communication. Provides timely ..
Description The Large Group Medical Underwriter computes rates for both renewing and prospective moderate to complex group accounts. The Large Group Underwriter 2 work assignments are varied and frequently require interpretation ..
Description The Director of Operations - Inside Sales is responsible for accomplishing enterprise wide growth objectives through operational and technology transformation and by gaining a competitive edge in the marketplace by ..
Description Get your foot in the door with this Entry-Level Training Ground Inside Sales Executive position! Enjoy a fast paced dynamic environment that offers a variety of responsibilities and assignments centered ..
Description The Actuarial Analyst 1, Risk and Compliance is responsible for the overall management and oversight of actuaries and/or support staff where activities are concerned with identifying and managing risks. Identifies ..
Description The Senior Portfolio Management Professional collaborates with the business ... and demand. The Senior Portfolio Management Professional work assignments involve moderately ... Description Summary The Senior Portfolio Management Professional..
