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... full factual investigation of assigned claim files; evaluating claims in terms ... to SIP internal committees; preparing claim summaries and making indemnity and ... reduction initiatives associated with the..
... related field Proficiency in understanding Healthcare related data Expertise in data ... creating analytics solutions for various healthcare sectors Expertise in Humana’s claims ... in Humana’s claims data, and..
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 Provider Reimbursement Professional 2-Remote in US in Jacksonville Florida Description The Medical/Financial Risk Evaluation Professional 2 is responsible for supporting the development, implementation and monitoring of medical/financial risk. ..
Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data ..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Jacksonville Florida Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..
Job Information Humana Data Architect - Louisville, KY or Remote in Jacksonville Florida Description The Provider Insights & Claims Analytics (PICA) team is a blend of technology, data, and consulting professionals ..
Job Information Humana Informaticist - Remote in Jacksonville Florida Description The Informaticist coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
Job Information Humana Senior Financial Analyst - Remote in Jacksonville Florida ... vision is to improve member healthcare through innovative analytics and actionable ... is seeking a Senior Financial Analyst..
... Qualifications Bachelor's degree in a healthcare field or equivalent experience. 5 ... years of experience in managed healthcare analysis, preferably as a Business ... analysis, preferably as a Business..
Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Jacksonville Florida Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and ..
Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..
Description Business Intelligence Engineers on the Provider Intelligence and Claims Analytics (PICA) team solve complex business problems and issues using data from internal and external sources to provide insights to decision-makers. ..
Description The Sales Support Professional 1 will provide sales support to the Group Sales Representatives in the Specialty Sales Regions. Responsibilities The Sales Support Professional will provide sales support to the ..