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Forensic and Integrity Services insurance and Federal claim Services Senior Responsibilities Key day-to-day contact for helping clients work through complex issues of fraud regulatory compliance and business disputes Take responsibility ..
Forensic And Integrity Services insurance And Federal claim Services Manager Responsibilities Key day-to-day contact for helping clients work through complex issues of fraud regulatory compliance and business disputes Take responsibility ..
Claims Counsel insurance Defense Counsel The candidate will be developing a case strategy Answering complaints Drafting and responding to discovery Client communications Handling all communications with opposing counsel Hiring and managing ..
Description Humana's Claims Cost Management (CCM) organization is seeking a Manager, Fraud & Waste to join the Provider Payment Integrity-Clinical Audit team working remote anywhere in the US. As the Fraud ..
Description The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work assignments are ..
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 Consumer Service Operations Professional 1 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Professional 1 work assignments are often straightforward and of ..
Business Analyst The candidate will quickly and efficiently review medical records and submit well-written appeals to health insurers and governmental payers. Will navigate through various computer systems and applications to find ..
Administrative Assistant The candidate will handle large volumes of documents, including accurately scanning and mailing documents. Navigate through various computer systems and applications to find information about insurance claims. Draft correspondences ..
Description Seeking meaningful work? As a Fraud and Waste Manager at Humana, you will come to work every day with the knowledge that your work matters. The ideal candidate is a ..
... within Affinity’s Huntington T. Block Insurance Division! As part of an ... Affinity’s Huntington T. Block (HTB) Insurance Division based in Washington, D.C. ... all aspects of the assigned..
Forensic And Integrity Services - Insurance And Federal Claim Services Manager Responsibilities: Key day-to-day contact for helping clients work through complex issues of fraud, regulatory compliance, and business disputes. Take responsibility ..
Job Information Humana Lead Product Manager - Healthcare API in Washington District Of Columbia Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, ..
Paralegal The candidate will assist with the filing of administrative appeals and documentation to health insurers and governmental payers. Quickly and efficiently review medical records and submit well-written appeals to health ..
Claims Counsel (Insurance Defense Counsel) The candidate will be developing a case strategy. Answering complaints, Drafting and responding to discovery, Client communications. Handling all communications with opposing counsel. Hiring and managing ..
Job Information Humana Manager, Fraud and Waste-Remote US in Washington District Of Columbia Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud ..
Clinical Analyst The candidate will quickly and efficiently review medical records and submit well-written appeals to health insurers and governmental payers. Will navigate through various computer systems and applications to find ..
Job Information Humana Lead, Business Architect - Enterprise API in Washington District Of Columbia Description The Lead, Business Architect as part of Humana's Enterprise API product team, is directly responsible for ..
Description The Claims Educator is responsible for ensuring prompt and accurate provider claims processing of original claims, resubmissions, and overall adjudication of claims. The Claims Educator manages claims operations that involve ..
Forensic and Integrity Services - Insurance and Federal Claim Services Senior Responsibilities: Key day-to-day contact for helping clients work through complex issues of fraud, regulatory compliance, and business disputes. Take responsibility ..
Job Information Humana Consumer Service Operations Professional 2 in Washington District Of Columbia Description The Consumer Service Operations Professional 2 is responsible for the daily activities across multiple service functions area. ..
Description Do you want to be part of a team that is continuously learning and evolving to build modernized and innovative solutions? Do you want to transform an industry? Do you ..
Description Work at iCare, a subsidiary of Humana, and answer your calling to help others by supporting the health, well-being, and healing of our members. iCare is seeking a Call Center ..