Healthcare Claim Project Manager Jobs in Wilmington

Solutions Manager / Engineer Burlington, MA HealthEdge ... MA headquarters as a Solutions Manager/Engineer. In this role you will ... tools such as Visio and Project Experience with both Microsoft..

Description The Senior Project Manager manages all aspects of a ... manages all aspects of a project, from start to finish, so ... and within budget. The Senior Project Manager..

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. Responsibilities There are 4 shifts available for this role. All ..

Job Information Humana Service Alignment Manager (SAM) - Remote, nationwide in ... Massachusetts Description The Service Alignment Manager (SAM) is an individual contributor ... Technology experience with PPS systems, project..

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

Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..

Job Information Humana Manager, Operations, Release and Process in ... in Boston Massachusetts Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..

Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Boston Massachusetts Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the Autism ..

Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

Job Information Humana Manager of Release Engineering, Remote in ... in Boston Massachusetts Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..

Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..

Job Information Humana Manager, Fraud and Waste-Remote US in ... in Boston Massachusetts Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

... and consultants to meet expected project objectives and hold them accountable ... Takeda can offer you: Comprehensive Healthcare: Medical, Dental, and Vision Financial ... Sales and Marketing Territory Business..

Job Information Humana Manager, Pharmacy and Medical Trend in Boston Massachusetts Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and medical, ..

Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management Engineering works within ... schedules and goals. Responsibilities The Manager, Release Management Engineering..

... worldwide. Join Takeda as a Manager, GMA, Global Medical Evidence Operations ... experience. Proven track record of project management and demonstrated ability to ... Takeda can offer you: Comprehensive..

Job Information Humana Manager, Release Management, Remote in Boston ... in Boston Massachusetts Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..

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 Pharmacy Claims Specialist, Remote in Boston Massachusetts Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 performs ..

... of 6 Product Owners and Project Managers Requirements gathering, project management oversight, user acceptance testing, ... and education. Create and present project status updates, financial impacts, etc. ... Qualifications..