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... is seeking a Fraud & Claims Operations Senior Manager in Consumer ... is seeking a Fraud & Claims Operations Senior Manager... In this ... or reporting of fraud and..
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Job Information Humana Manager, Operations, Release and Process in Phoenix Arizona Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production environment. ..
This position leads a designated medical coding team across multiple locations. The position has shared responsibility to assist in achieving the business unit goals in targeted areas such as unbilled accounts ..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Phoenix Arizona Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..
Job Information Humana Medicaid Senior Project Manager (Remote) in Phoenix Arizona Description Humana's Claims Process Organization is looking for a Senior Project Manager to join the Project Management team! As the ..
Description The Managing Clinical Pharmacist within the Pharmacy Claim Audit & Review department monitors drug development pipeline, and medical literature, while providing clinical and audit support for internal stakeholders. Utilizes broad ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Job Information Humana Associate Director, Retail Claims Technology Solutions in Phoenix Arizona Description The Associate Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. The ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
... identify and collect overpayment of claims. Contributes to the investigations of ... systems, and by ensuring correct claims payment. Decisions are typically related ... of work experience related to..
Project Manager PRIMARY RESPONSIBILITIES: Manage professional staff responsible for design and project construction Direct and coordinate activities of project personnel to ensure project progresses on schedule and within prescribed budget Assist ..
Job Information Humana Associate Director, Provider Data Interoperability in Phoenix Arizona Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..
Job Information Humana Associate Director, Provider Data Interoperability in Flagstaff Arizona Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..
Job Information Humana Associate Director, Provider Data Interoperability in Tucson Arizona Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..
J ob Description: The Product Marketing Manager, Sustainability drives the development and execution of strategies to address issues such as energy use, greenhouse gas emissions, and resource conservation both from ..
OverviewThe primary purpose of the position is the management and administration of all aspects of rehabilitation services for the respective communities as well as for maintaining a clinical caseload.The Rehabilitation Program ..
Job Description The Manager, Business Analysis (Individual Contributor) is the CSS Plan Lead who oversees the implementation of QNXT configuration requirements through strategy and development of information solutions to ensure operational ..
