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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 ..
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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 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 Senior Market Development Professional-RN-WAH Nationwide in Honolulu Hawaii Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, ..
Our Aon’s Captive & Insurance Management (“ACIM”) is looking to add ... for a portfolio of captive insurance companies and includes but is ... various departments, such as risk management,..
Description The Associate Director, Vendor Management works as liaison between vendors ... organization. The Associate Director, Vendor Management requires a solid understanding of ... 2 or more years of management..
Description The Pharmacy Claims Professional 2 monitors and ensures appropriate adjudication of pharmacy claims. The Pharmacy Claims Professional 2 work assignments are varied and frequently require interpretation and independent determination of ..
Job Information Humana Specialty Pharmacy RX Education Manager in Honolulu Hawaii Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying member ..
Description The Senior Health Information Management Professional ensures data integrity for ... errors. The Senior Health Information Management Professional work assignments involve moderately ... Responsibilities The Senior Health Information Management..
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 As the Channel Development Lead for the Pharmacy Integration team, you are accountable to provide consistent strategic direction, sales and account management to drive the visibility and utilization of Humana ..
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 ..
... issued RFPs/RFIs, including full-scale project management, written narratives, and production necessary ... on pre-bid strategy build, capture management, proposal submission, follow-up and finalist ... Group Medicare Sales and Account..
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 ..
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 ..
Job Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Honolulu Hawaii Description The Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple aspects related to reviewing pharmacy claim ..
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 ..
... Demonstrates strong interpersonal and project management skills.Uses a detailed approach to ... premium finance agreements, summaries of insurance, and policy transmittals.Understands best practices ... in this job description restricts..
Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..
Job Information Humana Specialty Pharmacy RX Enrollment Manager in Honolulu Hawaii Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying member ..
... have a working knowledge of insurance coverages, policy construction and applications? ... on our tools.Strong organizational, time management, and multi-tasking skills.Ability to effectively ... variables.Experience or education in Risk..
Job Information Humana Pharmacy Claims Specialist, Remote in Honolulu Hawaii Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. ..
Description The Senior UX Research Professional performs data analysis supporting learning plans via management and usage of consumer behavioral, demographic, and attitudinal data. The Senior UX Research Professional work assignments involve ..
