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Description The Pharmacy Claim Professional 2 conducts reviews on pharmacy claims to assess for recoveries. The Pharmacy Claim Professional 2 work assignments are varied and frequently require interpretation and independent determination ..
... The Senior Product Manager of Commercial Retiree Solutions supports development, delivery, ... and tactical responsibilities, including: Strategic Support product leadership and their partnership ... strategies with business partners Tactical..
Description The Senior Product Manager, Commercial Product supports development, delivery, and ... and tactical responsibilities, including: Strategic Support product leadership and their partnership ... strategies with business partners Tactical Support..
Job Information Humana Senior Insurance Product Compliance Professional in Louisville ... Louisville Kentucky Description The Senior Insurance Product Compliance Professional Performs consultation ... Performs consultation and research for policy &..
Job Information Humana Commercial Trend Analytics - Early Indicator Reporting Actuarial Analyst 2 in Louisville Kentucky Description The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ..
Description The Senior Pharmacy Claims Professional adjudicates pharmacy claims and process pharmacy claims for payment. The Senior Pharmacy Claims Professional work assignments involve moderately complex to complex issues where the analysis ..
Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare, Medicaid, and Commercial product implementation, operations, contract compliance, and federal contract application submissions. ..
Job Information Humana National General Agency Relationship Manager in Louisville Kentucky Description The National General Agency Relationship Manager will partner with Humana's wholesale distribution partners (General Agents) as well as the ..
... candidate with experience in the insurance industry around behavioral and physical ... Rounds and Executive Inquiries HUM Commercial ICM Rounds ( BH and ... to BH strategy/trend/spend, Interfacing with..
... The Market Development Analyst provides support to assigned health plan and/or ... and/or specialty companies relative to Medicare/Medicaid/Commercial product implementation, operations, contract compliance, ... meetings on various HSD topics..
Job Information Humana Actuarial Analyst II - Employer Group in Louisville Kentucky Description At Humana, the Market Pricing, Forecasting, and Execution Actuarial team is at the heart of executing on the ..
Description The Pharmacy Claim Professional 2 in the Pharmacy Claim Audit & Review (PCAR) team conducts reviews on pharmacy claims to assess for recoveries. The Pharmacy Claim Professional 2 work assignments ..
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 ..
