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Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..
Job Information Humana Claims Research & Resolution Representative 2 ... in Louisville Kentucky Description The Claims Research & Resolution Representative 2 ... & Resolution Representative 2 manages claims operations that..
... 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 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..
... 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..
... 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..
... will identify opportunities for appropriate claims adjudication based on benefit payment, ... first time accurate adjudication of claims and payments for members and ... 5 or more years of..
... the members we serve. The Claims Research and Resolution Professional 2 ... highly engaged individuals that manage claims operations that involve customer contact, ... contact, investigation, and settlement of..
Litigation Consultant - Liability The candidate will reviews/acts on reports/forms; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties. Handles high end cases with ..
Job Information Humana Pharmacy Claims Specialist, Remote in Louisville Kentucky ... Louisville Kentucky Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy..
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 Senior Claims Product Owner is responsible for conveying the product vision and roadmap to an Agile delivery team by defining user stories and prioritizing their product backlog. Work assignments ..
Job Information Humana Utilization Management Claims Coordinator - Remote KY in Louisville Kentucky Description The UM Administration Coordinator 2 contributes to administration of utilization management for Humana's KY Medicaid plan. The ..
Job Information Humana Claims Process Organization Project Manager 2-Remote/Virtual in KY, IN, WI, TX, FL only in Louisville Kentucky Description The Project Manager 2 manages all aspects of a project, from ..
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 ..
