Healthcare Claim Analyst Jobs in Louisville

Revenue Integrity Analyst, Specialty Pharmacy','Full-time','Professional Non-Clinical','1','1','80','80','Occasional','Occasional','KENTUCKY-LOUISVILLE-FRAZIER REHAB INSTITUTE','','!*!Days, Full TimeProvide superior customer service in person and on the phone to internal/external customers.  Generate and monitor aging reports.  Responsible for day-to-day functions ..

Job Information Humana Healthcare Data Analyst in Louisville Kentucky Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. ..

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 claim settlements both for ..

Job Information Humana Senior Consumer Service Operations Analyst-Remote KY, IN or WI in Louisville Kentucky Description The Senior Consumer Service Operations Professional is responsible for the daily activities across multiple service ..

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

Description Responsibilities The Claims Quality Audit Professional 1 works with the Resolution Quality Audit leadership team to support efficiency and day to day operations. Requires in-depth knowledge of Microsoft products Excel, ..

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

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 Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments ..

Description The Senior Finance Analyst collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. The Senior Finance Analyst work assignments involve moderately complex to complex ..

Description The Project Manager II manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Manager II work assignments ..

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..

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 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 Health Information Management Professional 2 ensures data integrity for claim errors while maintaining ongoing research and special projects. The Health Information Management Professional 2 work assignments are varied and ..

Job Information Humana IntelligentRx (IRx) Systems Analysis Lead in Louisville Kentucky Description The Lead, Business Systems Analysis performs analysis of business, process and user needs, documentation of requirements, cost/benefit analysis and ..

Subrogation Recovery Analyst The candidate investigates and determines whether medical insurance claims are recoverable or non-recoverable. Communicates and negotiates with healthcare plan members, insurance adjusters, and attorneys. Utilizes computer systems to ..

Description The Vendor Management Lead works as liaison between vendors and organization. The Vendor Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities The ..

Job Information Humana Financial Planning & Analysis Lead, Claims Cost Management - Louisville, KY in Louisville Kentucky Description The Financial Planning & Analysis Lead analyzes and forecasts financial, economic, and other ..

Description The Senior BI role on the Network Strategy & Analytics team is responsible for deriving analytic insights from internal & external data sources using appropriate assumptions & methodologies. Responsibilities The ..

Job Information Humana Encounter Data Submissions Analyst in Louisville Kentucky Description The Health Information Management Professional 2 ensures data integrity for claims errors. The Health Information Management Professional 2 work assignments ..

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 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 ..