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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..
Job Information Humana Associate Director of Clinical Audit, Payment ... in Metairie Louisiana Description The Associate Director of Clinical Audit, Payment ... identify and collect overpayment of claims. They will..
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 ..
Description The Claims Research & Resolution Professional 2 ... & Resolution Professional 2 manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims for and against..
General Overview The Heirloom portfolio includes a diverse range of hospitality spaces: Hotel, B&B, Commercial Short Term Rental (CSTR). The Associate Director Of Development is responsible for managing people, projects, 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 ... Provider Medicaid operational business. The Associate Director, Provider Data Interoperability plans, ... Responsibilities The Provider Data Interoperability Associate Director will..
... in Louisiana is seeking a Manager, Claims Research & Resolution (Claims Administrator) who will be responsible ... the administration of a comprehensive claims processing system capable of paying .....
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 ..
