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Description The Associate Actuary, Pricing is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new ..
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Description The Provider Engagement Professional 1 develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted ..
... Associate Director, Credentialing/Compliance manages the Dental Credentialing and Compliance team ensuring ... and Compliance team ensuring that dental providers are Credentialed/Re-credentialed according to ... State guidelines and that Humana's..
... for the Home or Hybrid Home/Office work styles are required to ... To ensure Home or Hybrid Home/Office associates' ability to work effectively, ... service of Home or Hybrid..
Description The Associate 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 ..
Description The purpose of the Dental/Vision distribution leader is to achieve ... growth including sourcing for potential dental/vision benefit administration RFP opportunities. Responsibilities ... partners to sell our entire Dental/vision..
... Professional 2 will focus on dental claims to identify fraud. This ... Succeed Minimum 1 year certified dental coding (AAPC - CDC) OR ... coding (AAPC - CDC) OR..
Level Experienced Job Location NH MST - Dover - Dover, NH Position Type Full Time Education Level Bachelors Degree Salary Range $60,000.00 - $65,000.00 Salary/year Travel Percentage Up to 75% Job ..
Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
Job Location NH - Dover Office - Dover, NH Position Type Full Time Education Level Bachelors Degree Travel Percentage Up to 75% Job Shift Various Shift Hours Job Category Nonprofit - ..
Level Experienced Job Location NH - Dover Office - Dover, NH Position Type Full Time Education Level Bachelors Degree Travel Percentage Up to 75% Job Shift Various Shift Hours Job Category ..
Job Information Humana Enterprise Transformation Lead - Office or Remote in Dover Delaware Description The Enterprise Transformation Lead provides data-based strategic direction to identify and address business issues and opportunities. Provides ..
Job Information Humana Senior Informaticist - Remote or Office in Dover Delaware Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key ..
Job Information Humana Lead Software Engineer - Office or Remote in Dover Delaware Description The Lead Software Engineer in Provider Insights and Claims Analytics (PICA) builds software applications based on business ..
... factors. Responsibilities The Medicare Advantage Dental Network Specialist is responsible for ... Develops, directs, and executes the Dental Network strategy to support the ... for Medicare Advantage and Individual..
... 2 initiates, negotiates, and executes dental provider contracts and agreements for ... needed travel for in person dental office visits, research of local community ... these events, identification of..
Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain high quality ..
... Lead Product Manager - Group Dental, Vision and Life in Dover ... products, with some cross-over into Dental products, from inception to introduction ... products, with some cross-over into..
... Adobe Creative Suite, and Microsoft Office software Effective time and resource ... for the Home or Hybrid Home/Office work styles are required to ... To ensure Home or Hybrid..
... relationships with physicians, providers and dental healthcare systems in order to ... contracted working relationship with the dental health plan. The Provider Engagement ... healthcare or managed care with..
Level Experienced Job Location NH MST - Dover - Dover, NH Position Type Full Time Education Level Bachelors Degree Travel Percentage Up to 50% Job Shift Various Shift Hours Job Category ..
Description The Dental Fraud and Waste Investigator conducts ... fraudulent and abusive practices. The Dental Fraud and Waste Investigator work ... courses of action. Responsibilities The Dental Fraud and Waste..