Associate Manager Claims Jobs in Nevada

Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..

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 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 Associate VP, Business Transformation and Clinical Innovation in Las Vegas Nevada Description The AVP, Business Transformation and Clinical Innovation leads the business transformation strategy and execution plans required ..

Job Description This is a full-time telework role. Working schedule: Monday-Friday, 8am-5pm (Pacific Time) Help us elevate our patient care to a whole new level! Join our Aetna team as an ..

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

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

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 Las Vegas Nevada ... Las Vegas Nevada Description Humana's Claims Process Organization is looking for ... looking for a Senior Project..

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

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

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

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 ... Las Vegas Nevada Description The Associate Director, Health Information Management ensures ... our encounter submissions systems. The Associate Director, Health..

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

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 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 ... Las Vegas Nevada Description The Associate Director of Clinical Audit, Payment ... identify and collect overpayment of claims. They will..