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Job Information Humana Manager of Fraud and Abuse Data Analytics in Jersey City New Jersey Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be responsible for the supervision ..
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The Brand Manager (reporting into the Director, Licensing) is responsible for managing all aspects of business and is the primary liaison for the licensed categories including Legwear, Men’s Tailored clothing, Kid’s ..
Job Information Humana Associate Director, Retail Claims Technology Solutions in Jersey City New Jersey Description The Associate Director, Technology Solutions devises an effective strategy for executing and delivering on IT business ..
u003cpu003eThe Senior Technical Project Manager will take on a 6 month Contract (with opportunity for extension) to help lead the planning and enablement of their new Claims System. The role requires ..
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 New York New York Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality ..
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. ..
POSITION SUMMARY: The Corporate Responsibility (CR) team’s mission is to support PVH’s brands, regions and functions, to drive Fashion Forward for good. We aim to embed sustainable business into PVH’s DNA ..
u003cpu003e We are seeking a highly motivated and experienced professional to join our team as an Associate Manager of Reinsurance. The Associate Manager will be responsible for managing reinsurance activities, assisting ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Jersey City New Jersey Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical ..
Job Information Humana Manager, Operations, Release and Process in Jersey City New Jersey Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the ..
... up to 5 workers compensation claims adjusters, to ensure team development ... team development and an excellent claims service at all times. You ... with. A strong background in..
Job Information Humana Associate Director, Provider Data Interoperability in Jersey City New Jersey Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality ..
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..
u003cpu003eCurrently seeking a Senior Managing Complex Claims Director that specialises in Financial Lines.u003c/pu003eu003cpu003eLeadership Experience is required; as this role manages a team of Du0026amp;O/Eu0026amp;O claims attorneysu003cbr /u003eExtensive experience in public Du0026amp;O, ..
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 Associate Director, Provider Data Interoperability in Livingston New Jersey Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance ..
Job Information Humana Medicaid Senior Project Manager (Remote) in Jersey City New Jersey Description Humana's Claims Process Organization is looking for a Senior Project Manager to join the Project Management team! ..
