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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 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 The Insurance Product Management Representative 2 Manages insurance product offerings for each market ... market and customer need. The Insurance Product Management Representative 2 performs varied activities ... on..
Description Responsibilities The Senior Insurance Product Manager monitors product performance and recommends changes, cost adjustments or resource additions. Engages in product bid filings, implementing product changes, and member communication. Provides timely ..
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 The Supervisor, Health Information Management ensures data integrity for claims ... errors. The Supervisor, Health Information Management works within thorough, prescribed guidelines ... solve basic problems; collaborates with management..
... The Senior Demand and Portfolio Management Professional collaborates with the business ... The Senior Demand and Portfolio Management Professional work assignments involve moderately ... The Senior Demand and Portfolio..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral ... involves processing referrals into medical management system with emphasis on accuracy ... answer provider/beneficiary inquiries. The Care Management Support..
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 Senior Portfolio Management Professional collaborates with the business ... and demand. The Senior Portfolio Management Professional work assignments involve moderately ... Description Summary The Senior Portfolio Management Professional..
Description The Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple aspects related to reviewing pharmacy claim submissions for accuracy and appropriateness. Facilitation of discussions with CMS representatives and ..
Description The Insurance Product Compliance Professional 2 Performs ... & certificate language development. The Insurance Product Compliance Professional 2 work ... courses of action. Responsibilities The Insurance Product Compliance Professional..
Description Work at Home in: Louisville, KY or Irving/Dallas, TX The UM Administration Coordinator 2 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The UM Administration ..
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 Market Research Professional 2 performs data analysis supporting learning plans via management and usage of consumer behavioral, demographic, and attitudinal data. The Market Research Professional 2 work assignments are ..
Description The Sr. Consumer Experience Professional performs data analysis supporting learning plans via management and usage of consumer behavioral, demographic, and attitudinal data. The Sr. Consumer Experience Professional work assignments involve ..
Description The Pharmacy Claim Professional 2 in the Pharmacy Claim Audit & Review (PCAR) team conducts reviews on pharmacy claims to assess for recoveries. The Pharmacy Claim Professional 2 work assignments ..
Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare, Medicaid, and Commercial product implementation, operations, contract compliance, and federal contract application submissions. ..