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Description The Project Manager 2 manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Manager 2 work assignments ..
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 The Claims Processing Representative 1 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Claims Processing Representative 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works ..
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 The DMS Sales Agent conducts selling activities related to inbound calls inquiring about individual health plan products. The DMS Sales Agent work assignments are varied and frequently require interpretation and ..
Job Information Humana Specialty Pharmacy RX Education Manager in San Juan Puerto Rico Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, ..
Job Information Humana Group Medicare Senior Proposal Development Professional-Remote/Virtual in San Juan Puerto Rico Description The Group Medicare Senior Proposal Development Professional curates content and collaborates with business partners, subject matter ..
Job Information Humana Medicare Sales Field Agent in Caguas Puerto Rico Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the ability ..
Job Information Humana SkillBridge Intern - Medicare Sales Field Agent in San Juan Puerto Rico Description Are you transitioning from the Military and looking for a DOD SkillBridge Internship opportunity? Are ..
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 ..
Job Information Humana Medicare Sales Field Agent in San Juan Puerto Rico Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the ..
Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Description The Claims Processing Representative reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Claims Processing Representative performs varied activities and moderately complex administrative/operational/customer support assignments. ..
Description The Associate Director, Vendor Management works as liaison between vendors and organization. The Associate Director, Vendor Management requires a solid understanding of how organization capabilities interrelate across department(s). Responsibilities The ..
Description The Associate Director, Consumer Engagement oversees the enrollment, education, engagement, and activation duties for client groups regardless of segment, and for product where warranted. The Associate Director, Consumer Engagement requires ..
Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that will ..
Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of ..
As an Insurance Advisor , you will make a positive difference by helping people become financially secure, achieve their dreams and goals in life. Acquire individual and corporate clients Identify client’s ..
Description The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and ..
Job Information Humana Specialty Pharmacy RX Enrollment Manager in San Juan Puerto Rico Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, ..
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 ..
Job Information Humana Senior Market Development Professional in San Juan Puerto Rico Description The Senior Behavioral Health Market Development Professional provides support to assigned health plan and/or specialty companies relative to ..
Description The Pharmacy Claims Professional 2 is responsible for the day to day operations of accumulator processing, providing investigative responses to various audit activity, and developing and maintaining guidelines. Responsibilities The ..