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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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... The Senior Medical/Financial Risk Evaluation Professional is responsible for supporting the ... The Senior Medical/Financial Risk Evaluation Professional work assignments involve moderately complex ... The Senior Medical/Financial Risk Evaluation..
Description The Pharmacy Claim Professional 2 conducts reviews on pharmacy ... 2 conducts reviews on pharmacy claims to assess for recoveries. The ... for recoveries. The Pharmacy Claim Professional 2..
... Wisconsin, Wyoming Categories: Customer Service, Claims/Claims Processing, Remote Work Ensures the ... evaluation and management of disability claims by analyzing and determining the ... perspective. Performs end to end..
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..
... Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Green Bay Wisconsin ... pharmacy claim review. The Pharmacy Claims Professional 2 work assignments are varied ... education and experience..
u003cpu003eu003cstrongu003eWho We Areu003c/strongu003eu003c/pu003enu003cpu003eu003ca href=u0022https://www.wpshealthsolutions.com/about/index.shtmlu0022 target=u0022_blanku0022 rel=u0022noopeneru0022u003eWPS Health Solutionsu003c/au003e is a leading not-for-profit health insurer in Wisconsin. Our services offer health insurance plans for individuals, families, seniors, and group plans for small ..
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..
... summer. Sound worthwhile yet?u003c/pu003enu003cpu003eu0026nbsp;u003c/pu003enu003cpu003eu003cstrongu003eHow do I know this opportunity is right ... about using data differently!u003c/liu003enu003c/ulu003enu003cpu003eu0026nbsp;u003c/pu003enu003cpu003eu003cstrongu003eWhat would I do in this role?u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eIdentify and ... of peer data requestsu003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eu0026nbsp;u003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eWhat will..
... to large businesses. We process claims and provide customer service support ... for use by Physician or professional peer review.u003c/liu003enu003cliu003eInitiate correspondence to beneficiaries, ... information. Compose letters in a..
... highly trained and expert Reinsurance claims professionals in a multinational team. ... u003c/pu003eu003cpu003eYour job as a Senior Claims Handler will be: u003c/pu003eu003cpu003e u003c/pu003eu003culu003eu003cliu003eManaging ... and complex Financial lines claimsu003c/liu003eu003cliu003eManaging..
u003ch3 style=u0022text-align: center;u0022u003eu003cstrongu003eMedicare Claims Analyst, Start Date Feb 28, ... to large businesses. We process claims and provide customer service support ... Alignment u003c/au003eu003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eu0026nbsp;u003c/strongu003eu003cstrongu003eRole Snapshot u003c/strongu003eu003c/pu003enu003cpu003eProcess Medicare claims through effective..
Job Information Humana Senior Pharmacy Claims Professional in Green Bay Wisconsin Description ... Wisconsin Description The Senior Pharmacy Claims Professional adjudicates pharmacy claims and processes pharmacy claims for payment. The..
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 Actuarial Analyst 1, Valuation is responsible for estimates of short term and long term reserves required for unpaid claim liability, active life reserves, and other actuarial items that ought ..
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 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 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 ..
Job Information Humana Claims Review Representative 2 in Milwaukee ... in Milwaukee Wisconsin Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..
