Assoc Mgr Claims Jobs in Pennsylvania

Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Pittsburgh Pennsylvania 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 Pittsburgh Pennsylvania 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 Associate Director, Provider Data Interoperability in Philadelphia Pennsylvania 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 ..

Front of House Manager (Hospitality Manager) Job Locations US-PA-Philadelphia ID 2022-18717 Position Type Salary # of Openings 1 Address 2140 Byberry Road Category Site Management Overview What You'll Do The Hospitality ..

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

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, Retail Claims Technology Solutions in Pittsburgh Pennsylvania Description The Associate Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. The ..

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

Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in ..

Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Pittsburgh Pennsylvania Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..

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 ..

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 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 Medicaid Senior Project Manager (Remote) in Pittsburgh Pennsylvania 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 Pittsburgh Pennsylvania 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 Pittsburgh Pennsylvania Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production environment. 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 Manager of Fraud and Abuse Data Analytics in Pittsburgh Pennsylvania Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be responsible for the supervision of the ..

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