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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 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 ..
Description The Lead Data Scientist uses mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions. The Lead Data Scientist works on problems ..
Description The Clinical Trend and Analytics team leverages advanced scientific techniques, forecasting, and machine learning to predict financial and clinical outcomes in order to guide investments that improve health outcomes and ..
Job OverviewA law firm seeks a highly motivated attorney with a strong interest in personal injury claims and litigation to join their practice in Bronx, NY. The office is conveniently located ..
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 ..
... accurate and timely information for claims reserve valuation, financial forecasting, and ... and executing necessary processes for claims reserving and claims analytics. They will have access ... have access..
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 Network Strategy Business Intelligence Analyst work assignments will vary by system and frequently require interpretation and independent determination of the appropriate courses of action. How We Value You Benefits ..
Description The Actuary role on the Medical Modeling and Specialty Strategies team within Pharmacy Analytics and Consulting (PAC) is an opportunity to provide analytics in support of Humana Pharmacy Solutions infusion ..
Description The Business Intelligence 2 - Provider Intelligence and Claims Analytics (PICA) solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The ..
Description The Actuary, Valuation is responsible for the calculation of reserves required for unpaid claim liability, including incurred but not reported (IBNR), for a portion of Humana's fully insured medical lines ..
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 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 Medical/Financial Risk Evaluation Professional 2 is responsible for supporting the development, implementation and monitoring of medical/financial risk. The Medical/Financial Risk Evaluation Professional 2 work assignments are varied and frequently ..
Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new ..
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 Business Intelligence Engineers on the Provider Intelligence and Claims Analytics (PICA) team solve complex business problems and issues using data from internal and external sources to provide insights to decision-makers. ..
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 Responsibilities This is a work at home position, Mon-Fri, 8am-5pm, with possible travel up 25%. The Senior Payment Integrity Professional contributes to overall cost reduction, by increasing the accuracy of ..
