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Description The Senior Medical/Financial Risk Evaluation Professional is responsible for supporting the development, implementation and monitoring of medical/financial risk. The Senior Medical/Financial Risk Evaluation Professional work assignments involve moderately complex to ..
Job Information Humana Insurance Product Management Representative 2 in Indianapolis Indiana Description The Insurance Product Management Representative 2 Manages insurance product offerings for each market and customer need. The Insurance Product ..
Job Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Indianapolis Indiana Description The Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple aspects related to reviewing pharmacy claim ..
Description The Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer ..
Description The Claims Review Representative 4 (formerly Team lead), Financial ... Recovery Overpayment Team makes appropriate claim decision based on strong knowledge ... federal legislation. The Claims Review Representative 4..
Job Information Humana Pharmacy Claims Specialist, Remote in Indianapolis Indiana Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 performs ..
Description Humana Healthy Horizons in Indiana is seeking Provider Claims Educators (Medicaid) who will be responsible for: conducting root cause analyses of claims data to track and trend claims denials or ..
Job Information Humana Claims Review Representative 2 in Fort Wayne Indiana ... Indiana Description The Claims Review Representative 2 , will be part ... which consists of making appropriate claim..
Job Information Humana Medical Claims Processing Representative 2 in Indianapolis Indiana Description The Medical Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. ..
Description The Claims Review Representative 3 makes appropriate claim decision based on strong knowledge ... federal legislation. The Claims Review Representative 3 performs advanced administrative/operational/customer support ... skills. Responsibilities The..