Insurance Jobs in Louisville

Description The Supervisor, Health Information Management ensures data integrity for claims errors. The Supervisor, Health Information Management works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of..

Description Responsibilities The Senior Insurance Product Manager Monitors Prescription Drug Plan (PDP) product performance and recommends changes, cost adjustments or resource additions. Engages in PDP bid filings, implementing product changes,..

Description The Actuarial Analyst 1, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses,..

Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs..

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..

Description The Sr. Consumer Experience Professional performs data analysis supporting learning plans via management and usage of consumer behavioral, demographic, and attitudinal data. The Sr. Consumer Experience Professional work assignments..

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..

Description Work at Home in: Louisville, KY or Irving/Dallas, TX The UM Administration Coordinator 2 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The UM..

Description The Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple aspects related to reviewing pharmacy claim submissions for accuracy and appropriateness. Facilitation of discussions with CMS representatives..

Description The Pharmacy Claim Professional 2 in the Pharmacy Claim Audit & Review (PCAR) team conducts reviews on pharmacy claims to assess for recoveries. The Pharmacy Claim Professional 2 work..

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..

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..

Description This Actuarial Analyst 2 role on the Specialty Benefits team will take ownership of our Dental and Vision commercial group (100 lives) renewal reporting and the dental trend analysis...

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..

Description Are you passionate about the Medicare population, looking for a role in leadership that will give you the ability to direct the success of 120 work at home call..

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..

Description The Market Research Professional 2 performs data analysis supporting learning plans via management and usage of consumer behavioral, demographic, and attitudinal data. The Market Research Professional 2 work assignments..

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..

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..

Description The Medical Coding Coordinator 2 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The..

Description Are you passionate about the Medicare population, looking for a role in leadership that will give you the ability to direct the success of 120 work at home call..

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..

Description The Senior Pharmacy Claims Professional in the Pharmacy Claim Audit & Review department adjudicates pharmacy claims and process pharmacy claims for payment. The Senior Pharmacy Claims Professional work assignments..