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Description The Senior Provider Connectivity Professional provides analysis and support to both internal and external customers on complex EDI-related issues for our Medicaid line of business. This includes collaborating cross functionally ..
Description The Claims Research & Resolution Professional 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..
Description Provider Development IT is health care integration and interoperability. The time is now for you to consider this opportunity to be on the leading edge of healthcare information technology and ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Job Information Humana UM Administration Coordinator 2 - Part Time - Work at Home (Friday-Sunday Schedule) in Salem Oregon Description (Friday - Sunday Schedule) The UM Administration Coordinator 2 contributes to ..
Description Be a part of our Interoperability space - Provide guidance to facilitate interaction with digital services and capabilities that connect people with lifelong well-being. Responsibilities Humana is seeking Product Owners ..
Job Information Humana UM Administration Coordinator 2 (Tuesday to Saturday Schedule)-- 100% REMOTE in Salem Oregon Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration ..
Description Responsibilities The Billing & Enrollment Representative will assist members in a fast-paced inbound call center environment. You will be responsible for: Processing enrollments, payments, address changes or other enrollment related ..
Description Be a part of our Interoperability space - Provide guidance to facilitate interaction with digital services and capabilities that connect people with lifelong well-being. Responsibilities Humana is seeking an Interoperability ..
Description The Director, IT Compliance audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information systems ..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH Nationwide in Salem Oregon Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs ..
Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability shine? ..
Job Information Humana Senior Cloud Security Engineer (virtual remote) in Salem Oregon Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..
Description The Referrals Coordinator 2 processes referrals from Civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Typically works on semi-routine assignments. Responsibilities The Referrals ..
Description The Senior Software Engineer (Web, Mobile, iOS, Android) codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where the analysis ..
Job Information Humana UM Administration Coordinator 2 (Schedule: Monday - Friday) - Remote in Salem Oregon Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration ..
Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..
Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional ..
Job Information Humana Provider Data Management & Contract Load Professional in Salem Oregon Description Provider Data Management & Contract Load Professional 2 is responsible for administering the installation of assigned provider ..
Description The Provider Connectivity Professional 2 provides analysis and support to both internal and external customers on complex EDI-related issues (i.e., electronic exchange of data including authorizations/referrals, eligibility and benefits, electronic ..
Job Information Humana UM Administration Coordinator (M-F or Tu-Sa Schedules Available) - REMOTE/WORK AT HOME (Anywhere in the US) in Salem Oregon Description The UM Administration Coordinator 2 contributes to administration ..
Description The Senior Market Consultation/Partnership Professional promotes and improves the quality and measurement of care delivery programs with a market(s). The Senior Market Consultation/Partnership Professional work assignments involve moderately complex to ..