Healthcare Claim Analyst Jobs in Alabama

Description The Provider Insights & Claims Analytics (PICA) team is a blend of technology, data, and consulting professionals leveraging the latest tools and methods to solve complex business problems. In this ..

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 ..

... this role the Business Intelligence Analyst solves complex business problems and ... to decision-makers. The Business Intelligence Analyst work assignments are varied and ... well-being Responsibilities The Business Intelligence..

Job Information Humana Senior Risk Management Professional - Pharmacy claims in Birmingham Alabama Description The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The Senior ..

... aspects related to reviewing pharmacy claim submissions for accuracy and appropriateness. ... tone and standard for pharmacy claim review. The Pharmacy Claims Professional ... pharmacies, make determination of appropriate..

Job Information Humana Senior Financial Analyst - Remote Nationwide in Birmingham ... Alabama Description The Senior Financial Analyst for Humana's Direct Contracting Entity, ... operational effectiveness. The Senior Financial Analyst..

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 STARS Improvement Analyst develops, implements, and manages oversight ... and initiatives. The STARS Improvement Analyst work assignments are varied and ... well-being Responsibilities The STARS Improvement Analyst develops..

Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..

Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Birmingham Alabama Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..

Job Information Humana Call Center Pharmacy Claims Technician, Remote in Birmingham Alabama Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative ..

Description The Business Intelligence 2 - Provider Intelligence and Claims Analytics (PICA) solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The ..

Job Information Humana Pharmacy Claims Specialist, Remote in Birmingham Alabama Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 performs ..

Job Information Humana Senior Financial Analyst - Remote in Huntsville Alabama ... vision is to improve member healthcare through innovative analytics and actionable ... is seeking a Senior Financial Analyst..

Job Information Humana Senior Financial Analyst - Remote in Mobile Alabama ... vision is to improve member healthcare through innovative analytics and actionable ... is seeking a Senior Financial Analyst..

Job Information Humana Senior Process Improvement Professional/HGB (TRICARE Benefits, Claims processing exp.) Remote Nationwide in Birmingham Alabama Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..

Job Information Humana Senior Financial Analyst - Remote in Birmingham Alabama ... vision is to improve member healthcare through innovative analytics and actionable ... is seeking a Senior Financial Analyst..

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..

Description The Business Intelligence 2 - Provider Intelligence and Claims Analytics (PICA) solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The ..

Description The Business Intelligence 2 - Provider Intelligence and Claims Analytics (PICA) solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The ..

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 Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ..

... Humana Lead Product Manager - Healthcare API in Birmingham Alabama Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..