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... modifications and enhancements to the claims processing systems and KPI reports ... to provide timely and insightful claims data. Review referred losses to ... policy issues to General Counsel,..
... 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 ..
Senior Account Executive Our Aon’s Captive & Insurance Management (“ACIM”) is looking to add an Senior Account Executive to our dynamic team in our Burlington, VT office. This client facing role ..
Account ExecutiveOur Aon’s Captive & Insurance Management (“ACIM”) is looking to add an Account Executive to our dynamic team in our Burlington, VT office. This client facing role will be responsible ..
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..
Senior Account Executive - Captive Insurance Our Aon’s Captive & Insurance Management (“ACIM”) is looking to add an Senior Account Executive to our dynamic team in our Burlington, VT office. This ..
Job Information Humana Senior Medical Auditing Professional: REMOTE/WORK AT HOME in Montpelier Vermont Description The Senior Medical Coding Professional acts as the team SME (Subject Matter Expert) and provides training, guidance, ..
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..
Job Information Humana Pharmacy Claims Specialist, Remote in Montpelier Vermont ... Montpelier Vermont Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy..
Job Information Humana Manager, Fraud and Waste-Remote US in Montpelier Vermont Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
... 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 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 ..
Our Aon’s Captive & Insurance Management (“ACIM”) is looking to add an Account Executive to our dynamic team in our Burlington, VT office. This client facing role will be responsible for ..
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 Senior Informaticist - Remote or Office in Montpelier Vermont Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key ..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Montpelier Vermont Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural ..
... 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..
Job Information Humana Fraud and Waste Investigator-Remote in US in Montpelier Vermont Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and ..
