Adjuster Jobs in Ridgeland

Description The Claims Review Representative 4 (formerly Team lead), Financial Recovery Overpayment Team makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. ..

Description Humana's Finance Shared Services organization is looking for a Senior Finance Acquisition Integration Professional to drive project-oriented duties related to the finance integration of acquired entities into Humana. Responsibilities As ..

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 to ..

Job Information Humana Medical Claims Processing Representative 2 in Ridgeland Mississippi Description The Medical Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. ..

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 appropriate ..

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 of ..

Litigation Paralegal/Legal Assistant The candidate will be interviewing clients to gather information needed throughout the litigation process. Drafting discovery and responses to discovery under the guidance of attorneys. Assisting in deposition ..

Job Information Humana Enterprise Risk Management Lead-US-Remote in Ridgeland Mississippi Description The Sales Conduct Risk Management Lead a critical member of Humana's Third Party Risk Management Program (TPRM), a 2nd Line ..

Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..

Description Humana's Marketing Organization is seeking a Consumer Experience Professional to join the Market Research Loyalty & Advocacy Insights team. This enterprise team focuses on data analysis and generating insights from ..

Description As the Channel Development Lead for the Pharmacy Integration team, you are accountable to provide consistent strategic direction, sales and account management to drive the visibility and utilization of Humana ..

Description The Senior Pharmacy Claims Professional oversees processes and ensures accuracy for pharmacy point of sale coordination of benefits (COB) adjudicated claims. The Senior Pharmacy Claims Professional work assignments involve moderately ..

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

Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..

Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Humana's Wisconsin Medicaid Market ..

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 guidelines ..

Job Information Humana SkillBridge Intern - Medicare Sales Field Agent in Ridgeland Mississippi Description Are you transitioning from the Military and looking for a DOD SkillBridge Internship opportunity? Are you passionate ..

Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..

Description Responsibilities The Insurance Product Manager 2 will: Research each State's Medicaid rules, as it pertains to base benefits, expanded benefits, competitive analysis, etc. for intelligence gathering and strategy formulation Responsible ..

Description The Senior Risk Adjustment or Market Development Professional provides support relative to Medicaid risk adjustment product implementation, operations, contract compliance, and federal contract application submissions. The Senior Market Development Professional ..

Job Information Humana Medicare Sales Field Agent in Ridgeland Mississippi Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, with the ability to directly ..

Job Information Humana Medicare Sales Field Agent - Attala, Leake, Scott, Simpson or Smith County in Ridgeland Mississippi Description Are you passionate about the Medicare population, looking for an opportunity to ..

Description The Insurance Product Manager 2 manages insurance product offerings for each market and customer need. The Insurance Product Manager 2 work assignments are varied and frequently require interpretation and independent ..