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Job Information Humana Bilingual English/Spanish Claims Representative - Remote Puerto Rico *Sign On Bonus* in San Juan Puerto Rico Description The Claims Processing Representative 2 reviews and adjudicates complex or specialty ..
Job Information Humana Bilingual English/Spanish Database Administrator - Remote Puerto Rico *Sign-On Bonus* in San Juan Puerto Rico Description The Database Administrator selects, implements, and loads the system applications that administer ..
Job Information Humana Senior Medical/Financial Risk Clinical Professional in San Juan Puerto Rico Description The Senior Medical/Financial Risk Clinical Professional is responsible for supporting the development, implementation and monitoring of medical/financial ..
... the business operational capabilities. Integrates contract changes as needed for existing ... programs. Creates and oversees new contract approval process. Collaborates with cross-functional ... programs. Communicates program overview including..
... hire, balance at completion of contract) Position will be Limited Term ... Position will be Limited Term contract of 6 months Responsibilities The ... hire, balance at completion of..
Job Information Humana Claims Review Representative 3 - Remote PR only in San Juan Puerto Rico Description The Claims Review Representative 3 makes appropriate claim decision based on strong knowledge of ..
Description The Compliance Professional 2 ensures compliance with governmental requirements. The Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. ..
Description The Medical Coding Auditor 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 Coding ..
Job Information Humana Claims Review Representative - Remote Puerto Rico - *Sign On Bonus* in San Juan Puerto Rico Description This will be a great opportunity to showcase your ability to ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
Job Information Humana Informaticist - Remote in San Juan Puerto Rico Description The Informaticist coordinates with other analytics, IT and business areas across the organization to ensure work is completed with ..
Description The Market Finance Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The Northeast Region is seeking a Market Finance ..
Job Information Humana Enrollment Representative 3 - Remote Puerto Rico *Sign on Bonus* in San Juan Puerto Rico Description The Enrollment Representative 3 processes applications from members, enrolls them on company ..
Description The Healthcare Financial Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The East Central Region is seeking a Healthcare ..
... Horizons is seeking a Value-Based Contract Writer (Value-Based Programs Lead) who ... strategy and goals. The Value-Based Contract Writer (Value-Based Programs Lead) requires ... the business operational capabilities. Integrates..
... Senior Provider Contracting Professional communicates contract terms, payment structures, and reimbursement ... a healthcare company Experience in contract preparation and implementation Proficiency in ... and communicating financial impact of..
Description Humana is looking to add new associate to the PrePay Audit team in San Juan, PR. This Claims Review Representative 3 opportunity is 100% work-at-home position for the San Juan, ..
Description The Senior Market Finance Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The Northeast Region is seeking a Senior ..
Description The Plan Build Representative 2 loads data from tables into multiple platforms which can include rates, CPT codes, etc. Implements provider demographic updates to remain compliant. Testing and implementation of ..
Job Information Humana Value-Based Strategies - CMS Programs Strategy Lead - Remote in San Juan Puerto Rico Description Value-Based Strategies - CMS Programs Strategy Lead will support Humana through successful participation ..
Job Information Humana Database Administrator - Remote Puerto Rico *Sign-On Bonus* in San Juan Puerto Rico Description The Database Administrator selects, implements, and loads the system applications that administer benefit plan ..
Description The Senior Value-Based Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Analyst works on problems of diverse ..