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Description The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and ..
... indispensable. The Senior Financial Analytics Professional ensures Humana's profitability and financial ... seeking a Senior Financial Analytics Professional that will be primarily responsible ... Employer Group Segment. The Analytics..
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Description This Lead Actuary role requires a leader who is a creative thinker and is energized to build something from the ground-up. This team will start with a blank canvas to ..
Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management ... errors. The Health Information Management Professional work assignments are varied and ... Responsibilities..
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 This Actuarial Analyst 2 role on the Specialty Benefits team will take ownership of our Dental and Vision commercial group (100 lives) renewal reporting and the dental trend analysis. This ..
Description The Senior Health Information Management Professional work assignments involve moderately complex to complex issues to work with various teams to develop business requirements, track and monitor the success of the ..
Description The Senior Pharmacy Claims Professional oversees processes and ensures accuracy ... coordination of benefits (COB) adjudicated claims. The Senior Pharmacy Claims Professional work assignments involve moderately complex ... factors...
Description The Pharmacy Claims Professional 2 monitors and ensures appropriate ... ensures appropriate adjudication of pharmacy claims. The Pharmacy Claims Professional 2 work assignments are varied ... of action. Responsibilities..
Description The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly ..
... Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Birmingham Alabama Description ... pharmacy claim review. The Pharmacy Claims Professional 2 work assignments are varied ... education and experience..
Description The Claims Review Representative 3 makes appropriate ... based on strong knowledge of claims procedures, contract provisions, and state ... state and federal legislation. The Claims Review Representative 3..
Description The Medical Coding Coordinator 2 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 ..
Description The Pharmacy Claims Professional 2 is responsible for the ... maintaining guidelines. Responsibilities The Pharmacy Claims Professional 2 analyzes and answers inquiries ... and answers inquiries regarding pharmacy claims..
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 ..
Do you have experience in claims adjudication and enjoy resolving issues ... such as advancing to the Claims Professional role, which offers more authority ... What the day will look..
