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claims Litigation Manager The candidate will identify and manages existing and emerging risks that stem from business activities and the job role Will ensure risks associated with business activities are effectively ..
... contract is responsible for processing claims for more than 6 million ... than 6 million members, the claims processing and financial management functions ... to an external vendor. The..
Job Information Humana Claims Research & Resolution Representative 2 ... Springs Colorado Description The Bilingual Claims Research and Resolution Representative 2 ... for well-being Responsibilities The Bilingual Claims Research &..
Description The Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims, submitted either via paper or ... via paper or electronically. The Claims Processing Representative 2..
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..
Description The Managing Clinical Pharmacist within the Pharmacy Claim Audit & Review department monitors drug development pipeline, and medical literature, while providing clinical and audit support for internal stakeholders. Utilizes broad ..
Job Information Humana Senior Risk Management Professional - Pharmacy claims in Colorado Springs Colorado Description The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The ..
Job Information Humana Associate Director, Retail Claims Technology Solutions in Colorado Springs Colorado Description The Associate Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. ..
Description The Claims Research & Resolution Representative 2 ... & Resolution Representative 2 manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims for and against..
... Information Humana Call Center Pharmacy Claims Technician, Remote in Colorado Springs ... Springs Colorado Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment...
Description The Claims Review Representative 4 (formerly Team ... based on strong knowledge of claims procedures, contract provisions, and state ... state and federal legislation. The Claims Review Representative 4..
... seeking a Call Center and Claims Representative to meet the needs ... inquiries related to benefits, eligibility, claims, and perform other duties as ... Responsibilities The Call Center and..
Description Claims Research & Resolution Representative 2 ... Where you Come In The Claims Research & Resolution Representative 2 ... services in the settlement of claims. Comprised of a group..
Description The Claims Research & Resolution Specialist 2 ... & Resolution Specialist 2 manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims for and against..
Job Information Humana Pharmacy Claims Specialist, Remote in Colorado Springs ... Description Assist local pharmacies with claims adjudication to support medication access ... the direction of the Pharmacy Claims Team..
Description The Senior Claims Research & Resolution Professional manages ... Research & Resolution Professional manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims for and..
Description The Claims Educator is responsible for ensuring ... ensuring prompt and accurate provider claims processing of original claims, resubmissions, and overall adjudication of ... resubmissions, and overall adjudication of..
Description Work at iCare, a subsidiary of Humana, and answer your calling to help others by supporting the health, well-being, and healing of our members. iCare is seeking a Call Center ..
Description The Claims Research & Resolution Professional 2 ... & Resolution Professional 2 manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims for and against..
Job Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Colorado Springs Colorado Description The Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple aspects related to reviewing pharmacy ..
... Process Improvement Professional/HGB (TRICARE Benefits, Claims processing exp.) Remote Nationwide in ... evaluation of variable factors. Responsibilities Claims Oversight Senior Process Improvement Professionals ... and accurate processing of TRICARE..