Assoc Mgr Claims Jobs

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

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

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

Job Information Humana Associate Director, Retail Claims Technology Solutions in Portland Maine Description The Associate Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. The ..

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 ..

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

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

Job Information Humana Associate Director, Health Information Management in Portland Maine Description The Associate Director, Health Information Management ensures data integrity and quality for our encounter submissions systems. The Associate Director, ..

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 Portland Maine Description Humana's Claims Process Organization is looking for a Senior Project Manager to join the Project Management team! As the ..

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

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

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

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

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 Portland Maine Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..

Job Information Humana Manager, Operations, Release and Process in Portland Maine 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 of Clinical Audit, Payment Integrity - REMOTE in US in Portland Maine Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..

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 ..

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 ..