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Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Senior Market ..
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Description The Senior Product Manager of Commercial Retiree Solutions supports development, delivery, and management of the pre-retiree product portfolio on behalf of both the Employer and Group Medicare businesses. By participating ..
Description The Senior Utilization Manager RN provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The work assignments ..
Description Are you passionate about the Medicare population, looking for a role in leadership that will give you the ability to direct the success of 120 work at home call center ..
Description The Director of Operations - Inside Sales is responsible for accomplishing enterprise wide growth objectives through operational and technology transformation and by gaining a competitive edge in the marketplace by ..
Description The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a framework ..
Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments ..
Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..
Description Get your foot in the door with this Entry-Level Training Ground Inside Sales Executive position! Enjoy a fast paced dynamic environment that offers a variety of responsibilities and assignments centered ..
Description The Large Group Medical Underwriter computes rates for both renewing and prospective moderate to complex group accounts. The Large Group Underwriter 2 work assignments are varied and frequently require interpretation ..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..
Description The Senior Learning Design Professional uses instructional design, cognitive psychology, and adult learning theory to determine the appropriate solution to a knowledge or performance gap. The Senior Learning Design Professional ..
Description This Lead Actuary role requires a leader who is a creative thinker and is energized to build something from the ground-up. This team will start with a blank canvas to ..
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 ..
Description The Actuarial Analyst 2, Risk and Compliance is responsible for the overall management and oversight of actuaries and/or support staff where activities are concerned with identifying and managing risks. Identifies ..
Description The Actuarial Analyst 1, Risk and Compliance is responsible for the overall management and oversight of actuaries and/or support staff where activities are concerned with identifying and managing risks. Identifies ..
Description Humana's dream is to help our members and our own associates achieve life-long well-being. Use your clinical experience to work with members, providers and community services in a nontraditional environment ..
Description The Call Quality Lead monitors and evaluates the quality of inbound and/or outbound Sales calls with Commercial Brokers and Agencies. Documents quality issues and performance measures. The Call Quality Lead ..
Description The Senior Product Manager, Commercial Product supports development, delivery, and management of the pre-retiree product portfolio on behalf of both the Employer and Group Medicare businesses. By participating in and ..