Assoc Mgr Claims Jobs in Green Bay

Job Information Humana Medicaid Associate Director, Compliance Nursing in Green Bay Wisconsin Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and ..

Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..

Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward ..

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

Description Responsibilities Where you Come In The Manager, Medical/Financial Risk Evaluation identifies, assesses, and mitigates any medical or financial risk that arises from inadequate or failed processes, people, systems, or external ..

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 Green Bay Wisconsin Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience ..

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, Release Management, Remote in Green Bay Wisconsin 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 Green Bay Wisconsin Description The Associate Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. ..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Green Bay Wisconsin Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..

Job Information Humana Manager, Pharmacy and Medical Trend in Green Bay Wisconsin Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and ..

... 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 Associate Director, Health Information Management in Green Bay Wisconsin Description The Associate Director, Health Information Management ensures data integrity and quality for our encounter submissions systems. The Associate ..

Job Information Humana Medicaid Senior Project Manager (Remote) in Green Bay Wisconsin Description Humana's Claims Process Organization is looking for a Senior Project Manager to join the Project Management team! As ..

Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Green Bay Wisconsin Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the ..

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

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..

Job Information Humana Associate Director, Provider Data Interoperability in Green Bay Wisconsin Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance ..

Job Information Humana Manager, Technology Leadership in Green Bay Wisconsin Description You have the unique opportunity to help transform a technology team in the fastest growing segment of health insurance. Reporting ..

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

Job Information Humana Associate VP, Business Transformation and Clinical Innovation in Green Bay Wisconsin Description The AVP, Business Transformation and Clinical Innovation leads the business transformation strategy and execution plans required ..