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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..
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Job Information Humana Pharmacy Claims Specialist, Remote in San Juan Puerto Rico Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims..
Job Information Humana Specialty Pharmacy RX Enrollment Manager in San Juan Puerto Rico Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment..
Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems..
Description The Actuarial Analyst 2, Pricing is responsible for developing pricing assumptions for Humana's Medicare dental and vision products. Supports implementation of rates, new plans and benefit changes. Provides guidance..
Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific..
Job Information Humana Claims Review Representative 3 - Remote PR only in San Juan Puerto Rico Description The Claims Review Representative 3 makes appropriate claim decision based on strong knowledge..
Description Humana is looking to add new associate to the PrePay Audit team in San Juan, PR. This Claims Review Representative 3 opportunity is 100% work-at-home position for the San..
Job Information Humana Medicare Sales Field Agent in Mayaguez Puerto Rico Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the..
Job Information Humana Medicare Sales Field Agent in Barceloneta Puerto Rico Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the..
Job Information Humana Senior Market Development Professional in San Juan Puerto Rico Description The Senior Behavioral Health Market Development Professional provides support to assigned health plan and/or specialty companies relative..
Job Information Humana SkillBridge Intern - Medicare Sales Field Agent in San Juan Puerto Rico Description Are you transitioning from the Military and looking for a DOD SkillBridge Internship opportunity?..
Job Information Humana Medicare Sales Field Agent in Ponce Puerto Rico Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the..
Job Information Humana Medicare Sales Field Agent in Caguas Puerto Rico Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the..
Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the..
Description The Actuarial Analyst 2, 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 The Claims Processing Representative reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Claims Processing Representative performs varied activities and moderately complex administrative/operational/customer support..
Job Information Humana Medical Claims Processing Representative 2 in San Juan Puerto Rico Description The Medical Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via..
Description The DMS Sales Agent conducts selling activities related to inbound calls inquiring about individual health plan products. The DMS Sales Agent work assignments are varied and frequently require interpretation..
Job Information Humana Medicare Sales Field Agent in San Juan Puerto Rico Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting..
Job Information Humana Medicare Sales Field Agent in Humacao Puerto Rico Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the..
Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that..
Job Information Humana Grievances & Appeals Representative 3 (Bilingual, Inbound call center in the Health Care industry, Medicare, Medical Claims, CAS, exp.) - San Juan, PR in San Juan Puerto..