Assoc Mgr Claims Jobs in Cincinnati

Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Cincinnati Ohio 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 Cincinnati Ohio Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..

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; ..

Job Information Humana Manager, Operations, Release and Process in Cincinnati Ohio Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production environment. ..

Job Information Humana Manager , Provider Engagement in Cincinnati Ohio Description The Manager, Provider Engagement develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support ..

... 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..

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 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 ..

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 Lead Product Manager - Healthcare API in Cincinnati Ohio Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, is directly ..

Serve as a first-level response to questions and issues from docketing clerks Manage daily workflow of the patent and trademark docketing teams and quality control of day-to-day docketing functions Partner with ..

Job Information Humana Manager of Fraud and Abuse Data Analytics in Cincinnati Ohio Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be responsible for the supervision of the ..

... 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..

Job Information Humana Associate Director, Retail Claims Technology Solutions in Cincinnati Ohio Description The Associate Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. The ..

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 of Clinical Audit, Payment Integrity - REMOTE in US in Cincinnati Ohio Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..

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 Medicaid Senior Project Manager (Remote) in Cincinnati Ohio Description Humana's Claims Process Organization is looking for a Senior Project Manager to join the Project Management team! As the ..

Job Information Humana Manager of Release Engineering, Remote in Cincinnati Ohio Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production environment. ..

Job Information Humana Manager, Release Management, Remote in Cincinnati Ohio Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production environment. The ..

OverviewRehab Program Manager - ALF SettingnnRehab Program Manager position available to begin ASAPnFlorence, Kentucky Assited Living settingnFull Time - 30-40 hrs/weeknFull Benefits package including Medical/Dental/Vision Insurance, 401K, CEUs, and PTOnMust be ..

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, Provider Data Interoperability in Cincinnati Ohio Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..