Associate Manager Claims Jobs in Fargo

Job Information Humana Medicaid Associate Director, Compliance Nursing in Fargo ... Fargo North Dakota Description The Associate Director, Compliance Nursing reviews utilization ... fraud, waste, and abuse. The Associate Director,..

Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..

... Where you Come In The Manager, Medical/Financial Risk Evaluation identifies, assesses, ... Our Fortune 100 Company values associate engagement & your well-being. We ... Experience reading and interpreting medical..

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 ..

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

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 Nationwide Associate Director, Utilization Management Nursing in ... Fargo North Dakota Description The Associate Director, Utilization Management Nursing utilizes ... and/or benefit administration determinations. The Associate Director,..

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; ..

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..

Job Information Humana Manager, Release Management, Remote in Fargo ... Fargo North Dakota Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..

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

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 Associate Director, Retail Claims Technology Solutions in Fargo North ... Fargo North Dakota Description The Associate Director, Technology Solutions devises an ... on IT business initiatives. The..

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

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

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

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..

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

Description The Associate Director, Payment Integrity uses technology ... identify and collect overpayment of claims. Contributes to the investigations of ... and our financial recovery. The Associate Director, Payment Integrity..

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, Health Information Management in ... Fargo North Dakota 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 ... Fargo North Dakota Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..

Job Information Humana Associate Director of Clinical Audit, Payment ... Fargo North Dakota Description The Associate Director of Clinical Audit, Payment ... identify and collect overpayment of claims. They will..