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... 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 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 ..
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 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..
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 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 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 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...
Accounting Manager I- Captive InsuranceAre you an experienced ... look likeAs an Accounting Manager I your primary responsibilities will include:Being ... actuaries, auditors, investment managers, brokers, claims adjusters and outside..
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..
Position Overview RoundPoint tracks all aspects of insurance, including both claim processing and data monitoring. The Insurance Specialist directly impacts the quality of insurance tracking and the homeowner’s insurance claim experience. ..
... Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Lancaster South Carolina ... pharmacy claim review. The Pharmacy Claims Professional 2 work assignments are varied ... education and experience..
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 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..
Job Information Humana Claims Review Representative 2 in Greenville ... Greenville South Carolina Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
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 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..
