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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..
... 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 ..
... Information Humana Call Center Pharmacy Claims Technician in Pittsburgh Pennsylvania Description ... Job Description Summary The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment...
... Information Humana Call Center Pharmacy Claims Technician, Remote in Pittsburgh Pennsylvania ... Pittsburgh Pennsylvania Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment...
... files, including litigated matters, catastrophic claims, umbrella claims, punitive damage claims, severe injury, long duration indemnity, ... exposure and other extensive exposure claims, in accordance with applicable state .....
Real Estate - Corporate Paralegal Duties: Draft deeds, affidavits, permits and easements and other transactional documents, as applicable. Draft leases, including amendments, renewals and memorandum, as applicable. Prepare loan documents, including ..
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 ..
Field Claims Specialist - Large Loss The ... resolves serious exposure, large loss claims requiring investigation, liability evaluation and ... and negotiation. Handles all assigned claims promptly and effectively, with..
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..
Lead Employment Practices Liability Claims Specialist The candidate will analyzes ... coverage and settles moderately complex claims in one or more of ... more of the firm’s specialty claims areas...
Job Information Humana Senior Medical Auditing Professional: REMOTE/WORK AT HOME in Pittsburgh Pennsylvania Description The Senior Medical Coding Professional acts as the team SME (Subject Matter Expert) and provides training, guidance, ..
Description The Medical Records Retrieval Representative travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. Responsibilities The ..
Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 performs varied activities ... semi-routine assignments. Responsibilities The Pharmacy Claims..
Job Information Humana Pharmacy Claims Specialist, Remote in Pittsburgh Pennsylvania ... Description Assist local pharmacies with claims adjudication to support medication access ... the direction of the Pharmacy Claims Team..
... 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 Manager, Fraud and Waste-Remote US in Pittsburgh Pennsylvania Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Pittsburgh Pennsylvania Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural ..
