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Description The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, ..
Job Information Humana Contract Tools, Education, Processes Professional - Louisville, KY or Remote (EST hours) in Naples Florida Description The Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and ..
Description CarePlus is seeking a Senior Learning Design Professional who will use instructional design, cognitive psychology and adult learning theory to determine the appropriate solution to a knowledge or performance gap. ..
Description As a customer-centric company, our top priority has always been the health of the people we serve. Our decades of experience helping millions of members, and our continuous learning on ..
Job Summary The Associate Manager is a key member of the leadership team. You are responsible for supporting a profitable business-focusing on creating genuine connections that foster customer loyalty, love of ..
Description CenterWell Pharmacy is seeking a Senior Software engineer who is self-motivated, Tech savvy, curious and loves the challenge of solving problems that improve people's lives. You'll collaborate with a fun ..
ASSISTANT MANAGER REPORTS TO: Store Manager SUMMARY: An Assistant Manager shares in the responsibility for the overall performance of the store and assists Store Management with generating sales potential, recruiting and ..
Job Information Humana Provider Reimbursement Professional 2-Remote in US in Naples Florida Description The Medical/Financial Risk Evaluation Professional 2 is responsible for supporting the development, implementation and monitoring of medical/financial risk. ..
Description The Claims Educator is responsible for ensuring prompt and accurate provider claims processing of original claims, resubmissions, and overall adjudication of claims. The Claims Educator manages claims operations that involve ..
Job Information Humana Senior Project Manager in Naples Florida Description The Senior Project Manager manages all aspects of a project, from start to finish, so that it is completed on time ..
Job Information Humana Project Management Lead (Remote US) in Naples Florida Description The Project Management Lead manages all aspects of a project, from start to finish, so that it is completed ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Description Introduction The 3rd Party Segment Lead will execute and lead a team of risk professionals in conducting cyber and regulatory-driven assessments and oversight of key 3rd Parties across designated business ..
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 ..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the business needs. Responsibilities The Intern - Care Manager, Registered ..
Ethics and Compliance Counsel Duties: The candidate will carry out all ethics and compliance responsibilities that are delegated. Oversee and independently manages investigations of ethics matters. Oversee countries or regions, defining ..
Description The Senior Learning Design Professional uses instructional design, cognitive psychology and adult learning theory to determine the appropriate solution to a knowledge or performance gap. The Senior Learning Design Professional ..
Job Information Humana Women's Health Telephonic Care Manager in Naples Florida Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to ..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
Job Information Humana Business Intelligence Engineer 2 - Remote in US in Naples Florida Description The Business Intelligence Engineer 2 solves complex business problems and issues using data from internal and ..
Description Responsibilities This role may be completely remote from anywhere in the US, or onsite/hybrid from Louisville, KY. The Associate Actuary, Valuation is responsible for estimates of reserves required for unpaid ..