Associate Manager Claims Jobs in Vermont

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..

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

The Associate Director of Human Resources works collaboratively with the HR Team and may require the person to step in to provide additional HR Support. This role works across all divisions ..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in ... in Montpelier Vermont 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; ..

... Information Humana Medicaid Senior Project Manager (Remote) in Montpelier Vermont Description ... in Montpelier Vermont 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 Associate Director of Clinical Audit, Payment ... in Montpelier Vermont Description The Associate Director of Clinical Audit, Payment ... identify and collect overpayment of claims. They will..

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

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

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

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

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

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

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 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 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 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 Manager of Release Engineering, Remote in ... in Montpelier Vermont Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..

Job Information Humana Manager, Release Management, Remote in Montpelier ... in Montpelier Vermont 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..

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