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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 .....
... member physical, environmental and psycho-social health issues. Assess and follow through ... Essentials Associates degree in Behavioral Health or Health related field AND Minimum three ... in social services..
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 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 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 ..
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 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 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 ..
Description The Actuarial Analyst 1, General provides actuarial support across a broad range of actuarial and business needs for specific product lines. The Actuarial Analyst 1, General work assignments are often ..
... 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 Manager, Specialty Consumer Engagement oversees the enrollment, education, engagement, and activation duties specific to our Specialty Pharmacy line of business regardless of segment, and for product where warranted. The ..
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 ..
... appropriate to optimize teams within Health Care Services and/or Home Operations. ... Improvement and Cost-Reduction throughout the Health Care Services and Home Operations ... improvement initiatives in support of..
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 ..
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 ..
... 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 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 ..
... 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..
... RN 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 .....
