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... workflows in conjunction with the Claims Policy and Process team. Will ... implementing and configuration of the claims and G&A systems. Required Qualifications ... experience leading Health Care and/or..
Description The Consumer Service Operations Lead is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Lead works on problems of diverse scope and complexity ranging ..
... The Senior Business Intelligence Engineer (Claims Strategy) solves complex business problems ... The Senior Business Intelligence Engineer (Claims Strategy) describes the tools, technologies, ... identify and measure anomalies in..
... within the Foreclosure, Bankruptcy, and Claims process in accordance with established ... ensure that foreclosure, bankruptcy, and claims activities are processed in compliance ... for the Foreclosure, Bankruptcy, and..
Job Information Humana Pharmacy Claims Representative in Charlotte North Carolina ... North Carolina Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy..
Description The Bilingual Claims Research and Resolution Representative 2 ... you Come In The Bilingual Claims Research & Resolution Representative 2 ... services in the settlement of claims. Comprised of..
Description The Correspondence Representative 2 performs research, analysis, documentation, and interpretation for the provider reimbursement programs for an organization that provides health insurance. Updates, maintains, and reviews fee scheduling and pricing ..
Position Overview RoundPoint tracks all aspects of insurance, including both claim processing and data monitoring. The Insurance Specialist directly impacts the quality of insurance tracking and the homeowner’s insurance claim experience. ..
(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) Job Overview Job Title: AVP Claims Operations Company: Travelers Insurance ..
... The Senior Business Intelligence Analyst (Claims Strategy) solves complex business problems ... The Senior Business Intelligence Analyst (Claims Strategy) describes the tools, technologies, ... identify and measure anomalies in..
Description Assist local pharmacies with claims adjudication to support medication access ... the direction of the Pharmacy Claims Team Leaders & the Pharmacy ... Team Leaders & the Pharmacy Claims..
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 ..
Account Executive I - CharlotteAre you looking to be a member of an industry-leading team? Do you want to deliver innovative and effective solutions to clients? If you said yes, then ..
Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain high quality ..
Job Information Humana Senior Informaticist - Remote or Office in Charlotte North Carolina Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our ..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Charlotte North Carolina Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate ..
Job Information Humana Fraud and Waste Investigator-Remote in US in Charlotte North Carolina Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud ..
Job Information Humana Manager, Fraud and Waste-Remote US in Charlotte North Carolina Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..
Job Information Humana Pharmacy Claims Specialist, Remote in Charlotte North ... North Carolina Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy..
Job Information Humana Senior Medical Auditing Professional: REMOTE/WORK AT HOME in Charlotte North Carolina Description The Senior Medical Coding Professional acts as the team SME (Subject Matter Expert) and provides training, ..