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Job Information Humana Claims Research & Resolution Representative 2 ... Green Bay Wisconsin Description The Claims Research & Resolution Representative 2 ... & Resolution Representative 2 manages claims operations that..
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... provider data records based on claims that pend in Humana's claims system. This individual performs set-up, ... goals for resolution of pended claims Collaborates closely with provider claims and..
Description The Pharmacy Claims Lead - Overpayment works on ... moderate to substantial. The Pharmacy Claims Lead will lead the development ... D and review of pharmacy claims containing invalid..
Job Information Humana Senior Pharmacy Claims Professional in Green Bay Wisconsin ... Wisconsin Description The Senior Pharmacy Claims Professional adjudicates pharmacy claims and processes pharmacy claims for payment. The Senior..
Description The Senior Business Intelligence Analyst (Claims Strategy) solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Senior Business Intelligence Analyst ..
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..
Description The Project Manager 2 manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Manager 2 work assignments ..
Description The Pharmacy Claims Professional 2 is responsible for the day to day operations of accumulator processing, providing investigative responses to various audit activity, and developing and maintaining guidelines. Responsibilities The ..
Description Be a part of our Pharmacy Claims Professional 2 - Clinical Programs Pharmacy Overutilization Review & Monitoring team. Provide guidance to members who have potential medication over utilization or medication ..
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..
Job Information Humana Claims Research & Resolution Representative 2 ... Bay Wisconsin Description The Bilingual Claims Research and Resolution Representative 2 ... for well-being Responsibilities The Bilingual Claims Research &..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
... 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..
Description The Senior Business Intelligence Engineer (Claims Strategy) solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Senior Business Intelligence Engineer ..
Description The Pharmacy Claims Professional 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Professional 2 work assignments are ... of action. Responsibilities The Pharmacy Claims..
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..
Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..
Description What Humana Offers We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development ..
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 ..
... 2 conducts reviews on pharmacy claims to assess for recoveries. The ... of action. Responsibilities The Pharmacy Claims Professional 2 analyzes and answers ... and answers inquiries regarding pharmacy..
Description Humana has a new Claims Research & Resolution Supervisor opening ... KY areas. The Supervisor manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims..
