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Actuarial Analyst II,III - Any Anthem Office ... filled as either an Actuarial Analyst II or an Actuarial Analyst III depending on experience and ... at the managers discretion. Actuarial..
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 Senior Business Intelligence Analyst (Claims Strategy) solves complex business ... decision-makers. The Senior Business Intelligence Analyst work assignments involve moderately complex ... In The Senior Business Intelligence Analyst..
Job Information Humana Senior Financial Analyst - Remote in Overland Park ... 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 Overland Park Kansas Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing ..
Job Information Humana Senior Risk Management Professional - Pharmacy claims in Overland Park Kansas Description The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The ..
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 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 Overview: A law firm in Kansas City, MO, is seeking a highly skilled Health Care Litigation Associate Attorney with a strong background in healthcare litigation, particularly in False Claims Act ..
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 ..
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 ..
Job Information Humana Senior Financial Analyst - Remote Nationwide in Overland ... Kansas Description The Senior Financial Analyst for Humana's Direct Contracting Entity, ... operational effectiveness. The Senior Financial Analyst..
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. ..
Job Information Humana Call Center Pharmacy Claims Technician, Remote in Overland Park Kansas Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims ..
Job Information Humana Pharmacy Claims Specialist, Remote in Overland Park Kansas Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 ..
... 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 in Kansas City ... vision is to improve member healthcare through innovative analytics and actionable ... is seeking a Senior Financial Analyst..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Overland Park Kansas Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing ..
... Humana Lead Product Manager - Healthcare API in Overland Park Kansas ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
