Claims Jobs in Hawaii

Description The Associate Actuary analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes unit cost metrics, provides competitive data and ..

Job Information Humana Claims Research & Resolution Representative 2 ... Honolulu Hawaii Description The Bilingual Claims Research and Resolution Representative 2 ... for well-being Responsibilities The Bilingual Claims Research &..

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 As Lead Actuary of the Risk Predictive Models team, you have an opportunity to both learn more about predictive analytics and machine learning and to see it become very real ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description Come join the Digital Health & Analytics (DH&A) team within Humana to build a world class Data Science and Insights enterprise capability leveraging digital-first platforms, analytics, and agile development methodologies. ..

Description The Subrogation Professional 2 iIdentifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..

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 ..

Description The Senior Installation Administration Professional establishes and manages relationships with internal and external clients. Coordinates end to end process from the point of sale to members loaded in system, ID ..

Description The Informatics Lead coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informatics Lead works on problems ..

Description The Network Operations Coordinator 4 maintains provider relations to support customer service activities through data integrity management and gathering of provider claims data needed for service operations. The Network Operations ..

Description The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work assignments are ..

Description An opportunity to join the Digital Health & Analytics (DH&A) team within Humana to build a world class analytics platform. Through the strategic interpretation of data, we provide our consumers-physicians, ..

Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description The Learning Facilitation Professional 2 conducts or facilitates training courses for organization employees or external audiences. The Learning Facilitation Professional 2 work assignments are varied and frequently require interpretation and ..

Description The Data and Reporting Professional 1 generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The ..

Description Humana Health Research (HHR) is seeking a Healthcare Research Lead with expertise in Health Equity. This is an exciting opportunity to help build the research agenda around current and planned ..

Description The Senior Consumer Experience Professional ensures optimized interaction between a company and providers. The Senior Consumer Experience Professional work assignments involve moderately complex to complex issues where the analysis 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..

Description Humana's Claims Cost Management (CCM) organization is ... support our efforts for ensuring claims payment accuracy, so that our ... to day work of reviewing claims payments for clinical/coding..

Best Buy The Warehouse Clerical Support Administrator manages client order integrity through system audits, research, executing escalations, and acting as a liaison between teams. Their responsibilities include processing records, recording data, ..

Description This opening will support the Humana Clinical Pharmacy Review organization performing a variety of analytical tasks including forecasting clinical review volume, identifying opportunities for automated decision making in the clinical ..