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... Professional provides support to assigned health plan and/or specialty companies relative ... on regulations for all assigned health plans. Ensures that assigned health plans are meeting or exceeding .....
Description In the business world, the ability to identify and forecast financial situations is indispensable. The Senior Financial Analytics Professional ensures Humana's profitability and financial security by analyzing and reporting on ..
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... to improve the lives and health of the members we serve. ... claims experience in healthcare and/or health insurance industry Knowledge of claims pricing/reimbursement, ... Experience in managed care..
Description The Senior Product Manager, Commercial Product supports development, delivery, and management of the pre-retiree product portfolio on behalf of both the Employer and Group Medicare businesses. By participating in and ..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
... Professional provides support to assigned health plan and/or specialty companies relative ... assigned networks. Ensures that assigned health plans are meeting or exceeding ... experience in a fast paced..
Description The Senior Health Information Management Professional ensures data ... for claims errors. The Senior Health Information Management Professional work assignments ... variable factors. Responsibilities The Senior Health Information Management..
Description The Senior Demand and Portfolio Management Professional collaborates with the business portfolio team to align the IT portfolio and demand. The Senior Demand and Portfolio Management Professional work assignments involve ..
Description The Pharmacy Claims Professional 2 is responsible for the day to day operations of accumulator processing, providing investigative responses to various audit activity, and developing and maintaining guidelines. Responsibilities The ..
Description The Retention Executive - Employer Group is responsible for growing membership within existing accounts and for directly managing business relationships with client accounts. The Retention Executive - Employer Group work ..
Description The Director of Operations - Inside Sales is responsible for accomplishing enterprise wide growth objectives through operational and technology transformation and by gaining a competitive edge in the marketplace by ..
... of work level equivalent experience Health & Life Insurance Licenses (or ability to obtain ... Qualifications Experience with the healthcare insurance industry, with sales related experience ... able to..
... solutions, ensuring the member's utmost health and safety. De-escalation skills are ... solutions, ensuring the member's utmost health and safety. De-escalation skills are ... following heavy or high volume..
Description The Large Group Medical Underwriter computes rates for both renewing and prospective moderate to complex group accounts. The Large Group Underwriter 2 work assignments are varied and frequently require interpretation ..
Description The Senior Portfolio Management Professional collaborates with the business portfolio team to align the IT portfolio and demand. The Senior Portfolio Management Professional work assignments involve moderately complex to complex ..
Description Get your foot in the door with this Entry-Level Training Ground Inside Sales Executive position! Enjoy a fast paced dynamic environment that offers a variety of responsibilities and assignments centered ..
... term relationships with our Independent Insurance Agents.u003c/liu003enu003cliu003eBecoming a subject matter expert ... school education and/or work-related experienceu003c/liu003enu003cliu003eWisconsin health and life insurance license upon hireu003c/liu003enu003cliu003e1 or more ... of sales..
Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..
