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Job Information Humana Medicaid Senior Project Manager (Remote) in Metairie Louisiana Description Humana's Claims Process Organization is looking for a Senior Project Manager to join the Project Management team! As the ..
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... 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 of Clinical Audit, Payment Integrity - REMOTE in US in Metairie Louisiana 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 ..
... Louisiana is seeking a Manager, Claims Research & Resolution (Claims Administrator) who will be responsible ... the administration of a comprehensive claims processing system capable of paying ... processing..
Description The Claims Research & Resolution Professional 2 ... & Resolution Professional 2 manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims for and against..
Job Information Humana Associate Director, Provider Data Interoperability in New Orleans Louisiana Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance ..
Job Information Humana Associate Director, Provider Data Interoperability in Metairie Louisiana Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance 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 ..
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 ..
General Overview The Heirloom portfolio includes a diverse range of hospitality spaces: Hotel, B&B, Commercial Short Term Rental (CSTR). The Associate Director Of Development is responsible for managing people, projects, and ..
