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u003cpu003eu003cstrongu003eData Science Manager - Insurance - Chicagou003c/strongu003eu003c/pu003eu003cpu003eThe Company u003cbr /u003eA global Pu0026amp;C insurance organization who lead the way in utilizing Data Science to drive better business decisions. They have a well ..
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Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Chicago Illinois Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the Autism ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Chicago Illinois Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..
Description The National Delegation Oversight and Support (NDOS) Associate Director role within the Value Based Strategies team, will collaborate with our Operational Risk Management, Delegation Compliance, various functional business owners (such ..
Job Information Humana Medicaid Senior Project Manager (Remote) in Chicago Illinois Description Humana's Claims Process Organization is looking for a Senior Project Manager to join the Project Management team! As the ..
Work with the practice group leaders to develop and implement practice group-specific strategic plans which include marketing and business development goals Engage with attorneys to understand the legal and business needs ..
... Indiana is seeking a Provider Claims Education Manager(Manager, Claims Research & Resolution) who will ... on supporting providers in the claims submission process and ensures providers ... timely and..
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 ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Chicago Illinois Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..
Job Information Humana Associate Director, Provider Data Interoperability in Chicago Illinois Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..
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. ..
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 Manager, Release Management, Remote in Chicago Illinois Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production environment. 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 ..
Job Information Humana Manager, Operations, Release and Process in Chicago Illinois Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production environment. ..
Job Information Humana Associate Director, Retail Claims Technology Solutions in Chicago Illinois Description The Associate Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. The ..
Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production environment. The Manager, Release Management Engineering works within specific guidelines and procedures; ..
... 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..
Job Information Humana Manager of Release Engineering, Remote in Chicago Illinois Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production environment. ..
Job Information Humana Lead Product Manager - Healthcare API in Chicago Illinois Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, is directly ..