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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..
Job Information Humana Pharmacy Claims Specialist, Remote in Fargo North ... North Dakota Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy..
Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Fargo North Dakota Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent ..
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..
... 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..
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 Informaticist - Remote in Fargo North Dakota Description The Informaticist coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights ..
Job Information Humana Fraud and Waste Investigator-Remote in US in Fargo North Dakota Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud ..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Fargo North Dakota Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate ..
... Information Humana Call Center Pharmacy Claims Technician, Remote in Fargo North ... North Dakota Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment...
Job Information Humana Senior Financial Analyst - Remote Nationwide in Fargo North Dakota Description The Senior Financial Analyst for Humana's Direct Contracting Entity, Humana Care Solutions, supports successful value-based provider relationships ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Fargo North Dakota Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Job Information Humana Manager, Fraud and Waste-Remote US in Fargo North Dakota Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..
... 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 Fargo North Dakota Description The Fraud and Waste Professional 2 conducts investigations of allegations ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Fargo North Dakota Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Job Information Humana Lead Software Engineer - Office or Remote in Fargo North Dakota Description The Lead Software Engineer in Provider Insights and Claims Analytics (PICA) builds software applications based on ..
Job Information Humana Senior Medical Auditing Professional: REMOTE/WORK AT HOME in Fargo North Dakota Description The Senior Medical Coding Professional acts as the team SME (Subject Matter Expert) and provides training, ..
Job Information Humana Senior Informaticist - Remote or Office in Fargo North Dakota Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our ..