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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 ..
Job Information Humana Senior Financial Analyst - Remote Nationwide in Troy Michigan Description The Senior Financial Analyst for Humana's Direct Contracting Entity, Humana Care Solutions, supports successful value-based provider relationships with ..
Description The Senior Finance Analyst collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. The Senior Finance Analyst work assignments involve moderately complex to complex ..
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 ..
... 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 Troy Michigan Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Troy Michigan Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..
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 Senior Medical Auditing Professional: REMOTE/WORK AT HOME in Troy Michigan Description The Senior Medical Coding Professional acts as the team SME (Subject Matter Expert) and provides training, guidance, ..
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 Manager, Fraud and Waste-Remote US in Troy Michigan Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Job Information Humana Informaticist - Remote in Troy Michigan Description The Informaticist coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
... 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..
... Information Humana Call Center Pharmacy Claims Technician in Troy Michigan Description ... Job Description Summary The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment...
Job Information Humana Pharmacy Claims Specialist, Remote in Troy Michigan ... Troy Michigan Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy..
Job Information Humana Fraud and Waste Investigator-Remote in US in Troy Michigan Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and ..
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 Medical Coding Coordinator 3- Remote USA in Troy Michigan Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Job Information Humana Senior Informaticist - Remote or Office in Troy Michigan Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key ..