Associate Manager Claims Jobs

Job Information Humana Medicaid Associate Director, Compliance Nursing in Cincinnati ... in Cincinnati Ohio Description The Associate Director, Compliance Nursing reviews utilization ... fraud, waste, and abuse. The Associate Director,..

Job Information Humana Manager, Pharmacy and Medical Trend in Cincinnati Ohio 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 Cincinnati Ohio Description The AVP, Business Transformation and Clinical Innovation leads the business transformation strategy and execution plans required to ..

Job Information Humana Manager of Fraud and Abuse Data ... Cincinnati Ohio Description Responsibilities The Manager of Fraud and Abuse Data ... also coordinate related efforts with Claims Oversight, Provider..

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, Release Management, Remote in Cincinnati ... in Cincinnati Ohio Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..

Job Information Humana Associate Director, Provider Data Interoperability in ... Provider Medicaid operational business. The Associate Director, Provider Data Interoperability plans, ... Responsibilities The Provider Data Interoperability Associate Director will..

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 ..

... Information Humana Medicaid Senior Project Manager (Remote) in Cincinnati Ohio Description ... in Cincinnati Ohio Description Humana's Claims Process Organization is looking for ... looking for a Senior Project..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in ... in Cincinnati Ohio Description The Associate Director, Utilization Management Nursing utilizes ... and/or benefit administration determinations. The Associate Director,..

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

Job Information Humana Associate Director of Clinical Audit, Payment ... in Cincinnati Ohio Description The Associate Director of Clinical Audit, Payment ... identify and collect overpayment of claims. They will..

Job Information Humana Associate Director, Retail Claims Technology Solutions in Cincinnati Ohio ... in Cincinnati Ohio Description The Associate Director, Technology Solutions devises an ... on IT business initiatives. The..

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

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 ..

Job Information Humana Manager, Operations, Release and Process in ... in Cincinnati Ohio Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..

Serve as a first-level response to questions and issues from docketing clerks Manage daily workflow of the patent and trademark docketing teams and quality control of day-to-day docketing functions Partner with ..

Job Information Humana Manager , Provider Engagement in Cincinnati ... in Cincinnati Ohio Description The Manager, Provider Engagement develops and grows ... with the health plan. The Manager, Provider Engagement..

Job Information Humana Associate Director, Provider Relations (Ohio Medicaid) ... Healthy Horizons is seeking an Associate Director, Provider Relations who will ... Medicaid Managed Care Contract. The Associate Director is..

Job Information Humana Associate Director, Health Information Management in ... in Cincinnati Ohio Description The Associate Director, Health Information Management ensures ... our encounter submissions systems. The Associate Director, Health..

Job Information Humana Manager of Release Engineering, Remote in ... in Cincinnati Ohio Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..