Healthcare Insurance Specialist Jobs in New Hampshire

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward 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 Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..

Job Information Humana Vulnerability Remediation Specialist (Remote) in Portsmouth New Hampshire Description The Systems Engineer 2 is responsible for design, analysis, configuration and maintenance of complex systems software solutions, based on ..

Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Portsmouth New Hampshire Description The Fraud and Waste Professional 2 conducts investigations of allegations ..

Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..

Description The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where ..

Job Information Humana Vendor Management Specialist 3 in Portsmouth New Hampshire ... Hampshire Description The Vendor Management Specialist 3 works as liaison between ... and organization. The Vendor Management Specialist..

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

Job Information Humana Senior Integration Specialist - Cloud in Portsmouth New Hampshire Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating functional silos existing between ..

Description The UM Compliance Letters Specialist/Coordinator 2 contributes to administration of utilization management in the Compliance department. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..

Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ..

Description The Pharmacy Development Specialist will be responsible for qualifying and managing new business leads and cultivating prospects and sales. Responsibilities Summary The Business Development Specialist will be responsible for managing ..

Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..

Job Information Humana Pharmacy Claims Specialist, Remote in Portsmouth New Hampshire Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 ..

Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Portsmouth New Hampshire Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent ..

Job Location Merrimack, NH - 3603 - Merrimack, NH Position Type Full Time Salary Range $37,000.00 - $38,000.00 Salary/year There's a spot on our team waiting for you! Become a Team ..

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..

Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..

Description The UM Specialist /UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..

Job Information Humana Specialty Drug Site of Care Specialist in Portsmouth New Hampshire Description The Specialty Pharmacy Programs Clerk 2 supports clinical programs and comprehensive insights directly related to Specialty Pharmacy ..