THE LARGEST COLLECTION OF JOBS ON EARTH
insurance
Supports PDF, DOC, DOCX, TXT, XLS, WPD, HTM, HTML files up to 5 MB
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 ..
Description The Associate Director, Consumer Engagement oversees the enrollment, education, engagement, and activation duties for client groups regardless of segment, and for product where warranted. The Associate Director, Consumer Engagement requires ..
... 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..
Job Information Humana Claims Review Representative 3 - Remote PR only in San Juan Puerto Rico Description The Claims Review Representative 3 makes appropriate claim decision based on strong knowledge of ..
Job Information Humana Pharmacy Claims Specialist, Remote in San Juan Puerto Rico Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative ..
Description The Associate Director, Vendor Management works as liaison between vendors and organization. The Associate Director, Vendor Management requires a solid understanding of how organization capabilities interrelate across department(s). Responsibilities The ..
Job Information Humana Specialty Pharmacy RX Enrollment Manager in San Juan Puerto Rico Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, ..
... Sales Field Agents sell individual health plan products and educate beneficiaries ... our consumers. Required Qualifications Active Health Insurance license Bilingual Spanish and English. ... proof of personal vehicle..
Job Information Humana Grievances & Appeals Representative 3 (Bilingual, Inbound call center in the Health Care industry, Medicare, Medical Claims, CAS, exp.) - San Juan, PR in San Juan Puerto Rico ..
Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..
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 ..
... Benefits Dental Benefits Vision Benefits Health Savings Accounts Flex Spending Accounts ... Accounts Flex Spending Accounts Life Insurance 401(k) PTO including 7 paid ... proposal management experience 2 years..
Job Information Humana Bilingual English/Spanish Claims Representative - Remote Puerto Rico *Sign On Bonus* in San Juan Puerto Rico Description The Claims Processing Representative 2 reviews and adjudicates complex or specialty ..
... fundamentals needed to sell individual health plan products and educate beneficiaries ... Sales Field Agents sell individual health plan products and educate beneficiaries ... proof of personal vehicle liability..
Description The DMS Sales Agent conducts selling activities related to inbound calls inquiring about individual health plan products. The DMS Sales Agent work assignments are varied and frequently require interpretation and ..
... Rico Description The Senior Behavioral Health Market Development Professional provides support ... Professional provides support to assigned health plan and/or specialty companies relative ... application submissions. The Senior Behavioral..
Job Information Humana Specialty Pharmacy RX Education Manager in San Juan Puerto Rico Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, ..
Job Information Humana Claims Review Representative - Remote Puerto Rico - *Sign On Bonus* in San Juan Puerto Rico Description This will be a great opportunity to showcase your ability to ..
Description The Claims Processing Representative reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Claims Processing Representative performs varied activities and moderately complex administrative/operational/customer support assignments. ..
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 The Health Information Management Professional ensures data ... integrity for claims errors. The Health Information Management Professional work assignments ... courses of action. Responsibilities The Health Information Management Professional..
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 ..
