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... 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 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 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 Pharmacy Claims Specialist, Remote in Overland Park ... Park Kansas Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy..
Job Information Humana Senior Informaticist - Remote or Office in Kansas City Kansas Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our ..
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..
... and final adjudication of paper/electronic claims. Determines whether to return, deny ... to return, deny or pay claims following organizational policies and procedures. ... procedures. May include initial entry..
The Veterans Health Administration (VHA) has adopted the HR Modernization and Shared Services Implementation, which is a new model of organizing and consolidating essential Human Resource (HR) functions and services to ..
... Information Humana Call Center Pharmacy Claims Technician, Remote in Overland Park ... Park Kansas Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment...
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 ..
Job Information Humana Fraud and Waste Investigator-Remote in US in Overland Park Kansas 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 Kansas City Kansas Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Overland Park Kansas Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate ..
Job Information Humana Senior Medical Auditing Professional: REMOTE/WORK AT HOME in Overland Park Kansas Description The Senior Medical Coding Professional acts as the team SME (Subject Matter Expert) and provides training, ..
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..
... 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 Fraud and Waste Investigator-Remote in US in Kansas City Kansas 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 Overland Park Kansas Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..
... outside counsel and complex litigated claims files as assigned. Analyze coverage ... Coordinate referral with AVP of Claims or VP of Claims on other litigated claims requests to outside..
