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... 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..
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... 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..
... 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..
Job Information Humana Senior Application Security Architect in Jersey City New Jersey Description Responsibilities Description The Senior Application Architect designs and develops IT applications architecture solutions to business problems in alignment ..
Description The Senior Manager, MarketPoint Sales makes sales presentations to potential qualified Medicare participants at their homes, doctors' offices, etc. using approved governmental guidelines. Initiates sales opportunities with seniors--individually or in ..
Job Information Humana Senior FP&A Professional - Medicaid Mkt in Jersey City New Jersey Description The Senior Financial Planning and Analysis Professional analyzes and forecasts financial, economic, and other data to ..
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 ..
... 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..
... 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..
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 ..
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..
... 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..
Job Information Humana Lead Software Engineer - Office or Remote in Jersey City New Jersey Description The Lead Software Engineer in Provider Insights and Claims Analytics (PICA) builds software applications based ..
Job Information Humana Enterprise Transformation Lead - Office or Remote in Jersey City New Jersey Description The Enterprise Transformation Lead provides data-based strategic direction to identify and address business issues and ..
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 ..
... 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 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..
... Lead Product Manager - Group Dental, Vision and Life in Jersey ... products, with some cross-over into Dental products, from inception to introduction ... products, with some cross-over into..
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 Information Humana Senior Informaticist - Remote or Office in Jersey City New Jersey Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. ..
Job Information Humana Senior Stars Improvement Professional - Remote NY, Remote NJ, Remote CT or Louisville, KY in Jersey City New Jersey Description The Senior Stars Improvement Professional develops, implements, and ..
