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Description The Actuarial Analyst 2, 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 ..
Description The Actuarial Analyst 1, Risk and Compliance is responsible for the overall management and oversight of actuaries and/or support staff where activities are concerned with identifying and managing risks. Identifies ..
Description The Actuarial Analyst 1, 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 ..
Description Responsibilities The Insurance Product Manager 2 will: Research each State's Medicaid rules, as it pertains to base benefits, expanded benefits, competitive analysis, etc. for intelligence gathering and strategy formulation Responsible ..
Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Description The Actuarial Analyst 1, General provides actuarial support ... specific product lines. The Actuarial Analyst 1, General work assignments are ... moderate complexity. Responsibilities The Actuarial Analyst 1, General..
Description The Claims Review Representative 4 (formerly Team lead), Financial Recovery Overpayment Team makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. ..
Description The Senior Pharmacy Claims Professional oversees processes and ensures accuracy for pharmacy point of sale coordination of benefits (COB) adjudicated claims. The Senior Pharmacy Claims Professional work assignments involve moderately ..
Description The Actuarial Analyst 2, General provides actuarial support ... specific product lines. The Actuarial Analyst 2, General work assignments are ... of action. Responsibilities The Actuarial Analyst 2, General..
Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of ..
Description The Senior Health Information Management Professional work assignments involve moderately complex to complex issues to work with various teams to develop business requirements, track and monitor the success of the ..
Job Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Lancaster South Carolina Description The Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple aspects related to reviewing pharmacy ..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in Lancaster South Carolina Description The Director, Behavioral Health (BH) Network and Market Strategy will insure that the appropriate providers ..
Description The Senior UX Research Professional performs data analysis supporting learning plans via management and usage of consumer behavioral, demographic, and attitudinal data. The Senior UX Research Professional work assignments involve ..
Description The Actuarial Analyst 2, Pricing is responsible for developing pricing assumptions for Humana's Medicare dental and vision products. Supports implementation of rates, new plans and benefit changes. Provides guidance to ..
Job Information Humana Finance M&A Integration Senior Professional (Remote) in Lancaster South Carolina Description Humana's Finance Shared Services organization is looking for a Finance M&A Integration Senior Professional to drive best ..
Description This Actuarial Analyst 2 role on the Specialty Benefits team will take ownership of our Dental and Vision commercial group (100 lives) renewal reporting and the dental trend analysis. This ..
Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that will ..
Description Humana's Marketing Organization is seeking a Consumer Experience Professional to join the Market Research Loyalty & Advocacy Insights team. This enterprise team focuses on data analysis and generating insights from ..
Description The Senior Risk Adjustment or Market Development Professional provides support relative to Medicaid risk adjustment product implementation, operations, contract compliance, and federal contract application submissions. The Senior Market Development Professional ..
Description The Senior Insurance Product Manager Manages insurance product offerings for Part D. The Senior Insurance Product Manager work assignments involve moderately complex to complex issues where the analysis of situations ..
Job Information Humana Market Development Analyst - Remote in Lancaster South Carolina Description The Market Development Analyst provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/Commercial product implementation, ..
