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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 ..
... 60 market leader in integrated healthcare whose dream is to help ... to help shape Humana's Associate Technology Experience. This person must be ... Portfolio Management within the Associate..
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 ..
... their home. We are a healthcare company committed to putting health ... CCS, CFE, AHFI). Understanding of healthcare industry, claims processing and investigative ... process development Government or corporate..
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 Senior Integration Specialist - Cloud in San Juan Puerto Rico Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating functional silos existing ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..
Job Information Humana Pharmacy Claims Specialist, Remote in San Juan Puerto Rico Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative ..
Job Information Humana LEAD QUALITY TECHNOLOGY LEADER - Infrastructure (Work at ... is a trusted, high performance technology partner that provides innovative and ... an extremely interconnected and complex technology..
... Qualifications Minimum 5 years of healthcare fraud investigations and/or auditing experience ... of Florida and Wisconsin Medicaid healthcare payment methodologies Strong organizational, interpersonal, ... the required qualifications. Understanding of..
Description The 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 works on ..
Job Information Humana Lead Technology Leadership Professional ( Remote Opportunity) in San Juan Puerto Rico Description The SRE Lead Technology Leader drives the SRE Technical operational excellence strategy and production support ..
Job Information Humana LEAD QUALITY TECHNOLOGY LEADER - IT Security (Work ... is a trusted, high performance technology partner that provides innovative and ... by being a leader in healthcare..
Job Information Humana Lead Technology Leadership Professional (Remote Position) in ... Puerto Rico Description The Lead Technology Leadership Professional is responsible for ... delivery and performance. The Lead Technology Leadership..
... and Compliance - Business Managed Technology in San Juan Puerto Rico ... and Compliance - Business Managed Technology is primarily focused on identification, ... Risk and Compliance efforts for..
... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..
Job Information Humana Senior Technology Leadership Professional (ServiceNow) - (Remote ... Puerto Rico Description The Senior Technology Leadership Professional is responsible for ... delivery and performance. The Senior Technology Leadership..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
Job Information Humana Lead Technology Leadership Professional in San Juan ... Puerto Rico Description The Lead Technology Leadership Professional is responsible for ... delivery and performance. The Lead Technology Leadership..
Job Information Humana Lead Technology Leadership Professional (Remote) in San ... passionate about learning. The Lead Technology Leadership Professional is responsible for ... delivery and performance. The Lead Technology Leadership..
Job Information Humana EDI Technology Leader in San Juan Puerto ... Puerto Rico Description The Lead Technology Leadership Professional is responsible for ... delivery and performance. The Lead Technology Leadership..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in San Juan Puerto Rico Description The Fraud and Waste Professional 2 conducts investigations of ..
Job Information Humana SENIOR QUALITY TECHNOLOGY LEADER - Technology Advancement (Work at Home/Fully Remote) ... is a trusted, high performance technology partner that provides innovative and ... by being a..