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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 In the business world, the ability to identify and forecast financial situations is indispensable. The Senior Financial Analytics Professional ensures Humana's profitability and financial security by analyzing and reporting on ..
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 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 ..
... Information Humana Senior Market Development Professional in Anchorage Alaska Description The ... Senior Behavioral Health Market Development Professional provides support to assigned health ... Senior Behavioral Health Market Development..
Description The Medical Coding Coordinator 2 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
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 ..
... Group Medicare Senior Proposal Development Professional-Remote/Virtual in Anchorage Alaska Description The ... Group Medicare Senior Proposal Development Professional curates content and collaborates with ... Group Medicare Senior Proposal Development..
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 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 ..
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 Senior UX Research Professional performs data analysis supporting learning ... data. The Senior UX Research Professional work assignments involve moderately complex ... Responsibilities The Senior UX Research Professional..
Description The Actuarial Analyst 2, Pricing is responsible for developing pricing assumptions for Humana's Medicare dental and vision products. Supports implementation of rates, new plans and benefit changes. Provides guidance to ..
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 ..
(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) The world isnt standing still, and neither is Allstate. Were ..
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 ..
Job Information Humana Claims Review Representative 2 in Anchorage Alaska Description The Claims Review Representative 2 , will be part of the Medical Financial Recovery Overpayment Team which consists of making ..
Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Humana's Wisconsin Medicaid Market ..
Description The Senior Health Information Management Professional work assignments involve moderately complex to complex issues to work with various teams to develop business requirements, track and monitor the success of the ..
... Information Humana Senior Market Development Professional-RN-WAH Nationwide in Anchorage Alaska Description ... Description The Senior Market Development Professional provides support to assigned health ... submissions. The Senior Market Development..
Description Humana's Marketing Organization is seeking a Consumer Experience Professional to join the Market Research Loyalty & Advocacy Insights team. This enterprise team focuses on data analysis and generating insights from ..
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 ..
