Insurance Professional Jobs in Charleston

Description The Senior Portfolio Management Professional collaborates with the business portfolio ... demand. The Senior Portfolio Management Professional work assignments involve moderately complex ... Summary The Senior Portfolio Management Professional..

Description The Senior Demand and Portfolio Management Professional collaborates with the business portfolio team to align the IT portfolio and demand. The Senior Demand and Portfolio Management Professional work assignments involve ..

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 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 ..

Job Information Humana Market Development Analyst - Remote in Charleston West Virginia Description The Market Development Analyst provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/Commercial product implementation, ..

Description The Claims Review Representative 3 makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. The Claims Review Representative 3 performs advanced ..

... Group Medicare Senior Proposal Development Professional-Remote/Virtual in Charleston West Virginia Description ... Group Medicare Senior Proposal Development Professional curates content and collaborates with ... Group Medicare Senior Proposal Development..

Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..

Job Information Humana Finance M&A Integration Senior Project Manager in Charleston West Virginia Description Humana's Finance Shared Services organization is looking for a Finance M&A Integration Senior Project Manager to drive ..

Job Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Charleston West Virginia Description The Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple aspects related to reviewing pharmacy ..

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 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 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 ..

Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..

Job Information Humana Claims Review Representative 2 in Charleston West Virginia Description The Claims Review Representative 2 , will be part of the Medical Financial Recovery Overpayment Team which consists of ..

... Information Humana Senior Market Development Professional-RN-WAH Nationwide in Charleston West Virginia ... Description The Senior Market Development Professional provides support to assigned health ... submissions. The Senior Market Development..

Description The Senior Pharmacy Claims Professional oversees processes and ensures accuracy for pharmacy point of sale coordination of benefits (COB) adjudicated claims. The Senior Pharmacy Claims Professional work assignments involve moderately ..

... Humana Finance M&A Integration Senior Professional (Remote) in Charleston West Virginia ... a Finance M&A Integration Senior Professional to drive best practices and ... the Finance M&A Integration Senior..

... Risk Adjustment or Market Development Professional provides support relative to Medicaid ... submissions. The Senior Market Development Professional work assignments involve moderately complex ... Responsibilities The Senior 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 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 Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..

Description The Senior Data Scientist uses mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions. The Senior Data Scientist work assignments involve ..