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Job Information Humana Insurance Product Manager Representative 2 in Louisville Kentucky Description The Insurance Product Management Representative 2 Manages insurance product offerings for each market and customer need. The Insurance Product ..
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JOB DESCRIPTIONJob SummaryThe Human Resource Manager will report directly to the Director of Human Resources or General Manager (property specific). As a member of the property Human Resources support staff he/she ..
Job Information Humana Medicaid Senior Project Manager (Remote) in Louisville Kentucky Description Humana's Claims Process Organization is looking for a Senior Project Manager to join the Project Management team! As the ..
Description The Manager, Financial Underwriting leads a regional team supporting new and existing business underwriting for Humana's Specialty products. Leads a team of underwriting professionals to support new business group strategies ..
Description The Manager, Provider Installation administers the installation of assigned provider accounts. Performs set-up, database loading, and preparation of administrative documents and materials. The Manager, Provider Installation works within specific guidelines ..
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 ..
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 ..
... 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 Group Medicare Associate Director, Financial Underwriting leads a team that computes rates for both renewing and prospective moderate to complex group accounts and performs the peer review on those ..
Our success is a result of the diversity of the Big Ass Fans team. Are you seeking an opportunity to work with extraordinary people with an entrepreneurial spirit? Do you have ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Louisville Kentucky Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..
Description The Care Manager, Telephonic Nurse Assistant 3, in a telephonic environment, assess and evaluates beneficiary needs and requirements to achieve and/or maintain an optimal wellness state by guiding beneficiaries and ..
Description The Associate Director, Medical Economics for the Primary Care Organization within the Population Health Team is responsible for working collaboratively with clinical, operational, and financial leadership to identify and leading ..
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, Fraud and Waste in Louisville Kentucky Description Responsibilities Associate Director, Program Integrity : At the direction of the Associate Vice President, Payment Integrity, the Associate Director ..
Job Information Humana Associate Director, Provider Data Interoperability in Louisville Kentucky Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..
Description Are you looking to join a team where you can be a part of our important mission of supporting the TRICARE healthcare program for our nation's military? Humana Government Business ..
Job Information Humana Associate Director, Provider Data Interoperability in Lexington Kentucky Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..
