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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 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 ..
... 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..
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..
Job Information Humana Senior Informaticist - Remote or Office in Cincinnati Ohio Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key ..
Job Information Humana Manager, Fraud and Waste-Remote US in Cincinnati Ohio Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Job Information Humana Pharmacy Claims Specialist, Remote in Cincinnati Ohio ... Cincinnati Ohio Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy..
Job Information Humana Senior Financial Analyst - Remote Nationwide in Cincinnati Ohio Description The Senior Financial Analyst for Humana's Direct Contracting Entity, Humana Care Solutions, supports successful value-based provider relationships with ..
... 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..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Cincinnati Ohio Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..
Senior Claims Representative - Contract Bonds Duties: ... Political, Directors & Officers, etc.) claims. Reviews and evaluates coverage and/or ... assist in the investigation of claims. Retains and directs approved..
Senior Claims Representative - Contract Bonds Responsibilities: ... Political, Directors & Officers, etc.) claims. Reviews and evaluates coverage and/or ... assist in the investigation of claims. Retains and directs approved..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Cincinnati Ohio Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Job Information Humana Senior Medical Auditing Professional: REMOTE/WORK AT HOME in Cincinnati Ohio Description The Senior Medical Coding Professional acts as the team SME (Subject Matter Expert) and provides training, guidance, ..
... Information Humana Call Center Pharmacy Claims Technician, Remote in Cincinnati Ohio ... Cincinnati Ohio Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment...
... member of the Field Property Claims Team, you will play a ... resolve a variety of homeowner claims in a fast paced, detail-oriented, ... challenge, as our Field Property..
Job Information Humana Fraud and Waste Investigator-Remote in US in Cincinnati Ohio Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and ..
... Medical Coding Auditor reviews medical claims submitted against medical records provided, ... systems, and by ensuring correct claims payment and appropriate CPT/ HCPCS ... Medical Coding Auditor reviews medical..
Job Information Humana Informaticist - Remote in Cincinnati Ohio Description The Informaticist coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
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..
