Claim Marketing Executive Jobs in Fairfield

Claim Technical Director The candidate will manages a book of claims for a significant size or complex product(s). Investigates and maintains claims: Reviews and evaluates coverage and / or liability. Will ..

Description The Senior Claims Research & Resolution Professional works with operational teams, vendors, providers, and members in the processing of claims. Strong analytical skills focusing on accuracy and attention to detail. ..

Description The Provider Insights & Claims Analytics (PICA) team is a blend of technology, data, and consulting professionals leveraging the latest tools and methods to solve complex business problems. In this ..

Description The AVP, Business Technology Solutions Implementation will oversees various system programs of a highly complex nature to deliver new technological solutions to meet business needs within a specified scope while ..

Answer inbound client calls and emails to process payments, provide copies of invoices or reports, and general account inquiries Manage high volume of emails and calls from clients, attorneys, secretaries, management ..

Answer inbound client calls and emails to process payments, provide copies of invoices or reports, and general account inquiries Manage high volume of emails and calls from clients, attorneys, secretaries, management ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Provide cost effective research and reference assistance to the firm’s attorneys Promote and publicize library resources, services, and new products Provide library resource training to new and lateral hire attorneys Ability ..

Job Information Humana Medicaid Market Development Advisor - Remote, US in Cincinnati Ohio Description The Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group ..

Description Humana needs a best in class program manager to lead the execution of our new trend stage gage process. You are a big-picture thinker and strategic leader with the ability ..

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

Description We're looking for someone who is well rounded in the end to end journey of Medical Insurance to lead our Solution Architecture team supporting Medicare consumers. Our Solution Architecture team ..

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 ..

Communicate regulatory changes and trends with the client’s management team and their employees, representatives, etc. Perform and/or oversee periodic testing of written policies and procedures to determine ongoing compliance Perform trading ..

Description Humana is a Fortune 60 market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health and well-being ..

Serve as a first-level response to questions and issues from docketing clerks Manage daily workflow of the patent and trademark docketing teams and quality control of day-to-day docketing functions Partner with ..

Description The Market Development Advisor will work side-by-side with the Medicaid COO and team to ensure that the health plan is meeting or exceeding corporate Medicaid performance benchmarks. Helps advise executives ..

Job Information Humana Market Development Advisor - Medicaid Provider Service Operations in Cincinnati Ohio Description The Market Development Advisor - Medicaid Provider Service Operations provides support to assigned health plan and/or ..

Description The Network Operations Lead maintains provider relations to support customer service activities through data integrity management and gathering of provider claims data needed for service operations. The Network Operations Lead ..

Description The Provider Insights & Claims Analytics (PICA) team is a blend of technology, data, and consulting professionals leveraging the latest tools and methods to solve complex business problems. In this ..

Job Information Humana Market Network Operations Lead (Behavioral Health/Medicaid)) in Cincinnati Ohio Description The Behavioral Health Network Operations Lead will be our Subject Matter Expert on Ohio Medicaid Behavioral Health. Responsibilities ..

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 Market Network Operations Lead (Behavioral Health) - KY Medicaid in Cincinnati Ohio Description The Behavioral Health Network Operations Lead will be our Subject Matter Expert on Kentucky Medicaid ..