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Claims Specialist III The candidate functions ... as a personal lines property claims specialist to evaluate, negotiate and ... resolution serious exposure large loss claims requiring investigation, liability evaluation and..
... 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 Senior Informaticist - Remote or Office in Seattle Washington Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key ..
Job Information Humana Senior Financial Analyst - Remote in Seattle Washington Description The Provider Analytics organization's vision is to improve member healthcare through innovative analytics and actionable insights, which empower members, ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Seattle Washington Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana Fraud and Waste Investigator-Remote in US in Seattle Washington Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The 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 Inpatient Medical Coding Auditor-Remote/Virtual in US in Seattle Washington Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana Data Architect - Louisville, KY or Remote in Seattle Washington Description The Provider Insights & Claims Analytics (PICA) team is a blend of technology, data, and consulting professionals ..
Adjudicates claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions. Adjusts complex claims for advanced processing needs. Responds to Customer Service Requests and resolves problem ..
Job DescriptionJob holder is responsible for performing any other duties as assigned by management. List the significant activities that support that function, for instance manage the annual store audit process. Where ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Seattle Washington Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
Description The Network Operations Coordinator contributes to the provider experience by managing the accuracy of the provider data within the health plan networks. The Network Operations Coordinator 4 assumes ownership and ..
Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Seattle Washington Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and ..
... training” for the World’s Best Claims Processing Team! As a Training ... an insurance (property and casualty claims) or veterinary industryExperience in high ... and integrity with how our..
It’s an exciting time to be at HealthyPaws! We are seeking a motivated and innovative Application Development & Delivery Manager to build and manage solutions as part of our digital transformation ..
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 Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Seattle Washington Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..
Job Information Humana Informaticist - Remote in Seattle Washington Description The Informaticist coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
... 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..
... get off your worker’s Compensation Claims desk? Are you looking to ... years of experience in multi-state claims handling and become a consultant? ... exciting career opportunity for a..
Job Information Humana Manager, Fraud and Waste-Remote US in Seattle Washington Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..