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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..
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..
Job Information Humana Claims Review Representative 2 in Saint ... Saint Augustine Florida Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..
Job Information Humana Provider Reimbursement Professional 2-Remote in US in Saint Augustine Florida Description The Medical/Financial Risk Evaluation Professional 2 is responsible for supporting the development, implementation and monitoring of medical/financial ..
Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data ..
Description Responsibilities This role may be completely remote from anywhere in the US, or onsite/hybrid from Louisville, KY. The Associate Actuary, Valuation is responsible for estimates of reserves required for unpaid ..
Description The Claims Processing Representative reviews and adjudicates ... and adjudicates complex or specialty claims, submitted either via paper or ... via paper or electronically. The Claims Processing Representative performs..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..
Job Information Humana Associate Director, Provider Data Interoperability in Saint Augustine Florida Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance ..
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 HPS Release Management Engineer 2 manages cross-organizational efforts required to introduce applications and infrastructure changes into the production environment. The Release Management Engineer 2 work assignments are varied and ..
Description The Business Systems Analysis Professional 2 performs analysis of business, process and user needs, documentation of requirements, cost/benefit analysis and translation into proper system requirement specifications. The Business Systems Analysis ..
Description The Informaticist coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledgeable SMEs. The Informaticist work assignments are varied and ..
Saint Augustine office of a BCG Attorney Search Top Ranked Law Firm seeks personal injury attorney with 3+ years of experience. The candidate will handle a heavy and complex case-load strictly ..
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 The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
Job Information Humana Provider Data Management & Contract Load Professional in Saint Augustine Florida Description Provider Data Management & Contract Load Professional 2 is responsible for administering the installation of assigned ..
Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
... requirements. Identify criteria needed for Claims Processing configurations rules to ensure ... Processing configurations rules to ensure Claims system is consistent with CarePlus ... system is consistent with CarePlus..
Job Information Humana Compliance Prof 2/Process and Market Support- Remote in US in Saint Augustine Florida Description Do you crave new challenges and solving problems? Are you looking for an opportunity ..
