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Reimbursement Director Duties: Manage the government reimbursement personnel for the corporation, and it reports to the Reimbursement Senior Director. Assists in the direction of the following areas for government payers for ..
Description The Senior Business Intelligence Engineer (Claims Strategy) solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Senior Business Intelligence Engineer ..
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 ..
Job Information Humana Senior Process Improvement Professional/HGB (TRICARE Benefits, Claims processing exp.) Remote Nationwide in Sandy Utah Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..
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 Senior Financial Analyst - Remote in Salt Lake ... vision is to improve member healthcare through innovative analytics and actionable ... is seeking a 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 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 Sandy Utah ... vision is to improve member healthcare through innovative analytics and actionable ... is seeking a Senior Financial Analyst..
Job Information Humana Pharmacy Claims Specialist, Remote in Sandy Utah Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 performs ..
... 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..
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..
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 Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Sandy Utah Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..
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..
Job Information Humana Senior Financial Analyst - Remote Nationwide in Sandy ... Utah Description The Senior Financial Analyst for Humana's Direct Contracting Entity, ... operational effectiveness. The Senior Financial Analyst..
... Humana Lead Product Manager - Healthcare API in Sandy Utah Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
