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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..
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Summary The Benefits Manager position is responsible for coordinating the day-to-day operations of group benefit programs (group health, dental, vision, short-term disability, life insurance, pension and retirement plans). Investigate benefit programs, ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Brentwood Tennessee 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. ..
Job Information Humana Associate Director, Provider Data Interoperability in Brentwood Tennessee Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..
Job Information Humana Associate Director, Provider Data Interoperability in Nashville Tennessee Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..
Job Information Humana Associate Director, Provider Data Interoperability in Knoxville Tennessee Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..
Job Information Humana Associate Director, Provider Data Interoperability in Chattanooga Tennessee 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 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 Memphis Tennessee Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..
Job Information Humana Associate Director, Provider Data Interoperability in Columbia Tennessee Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..