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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 ..
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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 ..
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 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 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 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 ..
Our Aon’s Captive & Insurance Management (“ACIM”) is looking to add a Account Executive to our dynamic team in our Hawaii office. This client-facing role will be responsible for the delivery ..
... Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Honolulu Hawaii Description ... pharmacy claim review. The Pharmacy Claims Professional 2 work assignments are varied ... education and experience..
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..
Job Information Humana Claims Review Representative 2 in Honolulu ... in Honolulu Hawaii Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
