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Description The Medical/Financial Risk Evaluation Professional 2 is responsible for supporting the development, implementation and monitoring of medical/financial risk. The Medical/Financial Risk Evaluation Professional 2 work assignments are varied and frequently ..
Description The Financial Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. How We Value You Benefits starting day 1 of employment ..
Description The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, ..
Job Information Humana Data Analyst/Consumer Experience Professional 2 - Remote/Virtual in US in Riverton Wyoming Description The Consumer Experience Professional 2 ensures optimized experience between Humana and Providers through data analysis. ..
Description The Network Strategy Business Intelligence Analyst work assignments will vary by system and frequently require interpretation and independent determination of the appropriate courses of action. How We Value You Benefits ..
Job Information Humana Project Manager 2 - Remote in US in Riverton Wyoming Description The Project Manager 2 manages all aspects of Medicaid projects as it relates to Availity, from start ..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Riverton Wyoming Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Riverton Wyoming Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
Description The Business Systems Analyst performs analysis of business, process and user needs, documentation of requirements, cost/benefit analysis and translation into proper system requirement specifications. The Business Systems Analysis Professional 2 ..
Description The Senior Consumer Experience Professional ensures optimized interaction between a company and members. The Senior Consumer Experience Professional's work assignments involve moderately complex to complex issues where the analysis of ..
Description The Business Intelligence 2 - Provider Intelligence and Claims Analytics (PICA) solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The ..
Description The Business Intelligence Engineer 2 solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Engineer 2 work assignments ..
Job Information Humana Data Architect - Louisville, KY or Remote in Riverton Wyoming Description The Provider Insights & Claims Analytics (PICA) team is a blend of technology, data, and consulting professionals ..
Job Information Humana Business Systems Analyst - Sales Technology - Remote in Riverton Wyoming Description The Business Systems Analyst performs analysis of business, process and user needs, documentation of requirements, cost/benefit ..
Description The Value-Based Programs Lead supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Value-Based Programs Lead provides strategic advice and guidance ..
Job Information Humana Enterprise Transformation Lead - Office or Remote in Riverton Wyoming Description The Enterprise Transformation Lead provides data-based strategic direction to identify and address business issues and opportunities. Provides ..
Description The Subrogation Professional 2 iIdentifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..
Description The Data and Reporting Professional 1 generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The ..
Description The Project Manager manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Manager work assignments are varied ..
Job Information Humana Contract Tools, Education, Processes Professional - Louisville, KY or Remote (EST hours) in Riverton Wyoming Description The Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and ..
Description The Provider Connectivity Professional 2 provides analysis and support to both internal and external customers on complex EDI-related issues (i.e., electronic exchange of data including authorizations/referrals, eligibility and benefits, electronic ..
Job Information Humana Business Intelligence Engineer - Remote in Riverton Wyoming Description The Business Intelligence Engineer for the National Medicaid Quality and Risk Adjustment Team solves complex business problems and issues ..
Description Business Intelligence Engineers on the Provider Intelligence and Claims Analytics (PICA) team solve complex business problems and issues using data from internal and external sources to provide insights to decision-makers. ..