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Description The Senior Pharmacy Claims Professional in the Pharmacy Claim Audit & Review department adjudicates pharmacy claims and process pharmacy claims for payment. The Senior Pharmacy Claims 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 Pharmacy Claims Professional 2 analyzes and answers inquiries regarding pharmacy claims adjudication, including method of payment, co-pay or deductible amounts, and/or reason for denial. Works closely with a senior ..
... Information Humana Senior Market Development Professional-RN-WAH Nationwide in Louisville Kentucky Description ... Description The Senior Market Development Professional provides support to assigned health ... submissions. The Senior Market Development..
Job Information Humana Senior Insurance Product Compliance Professional in Louisville Kentucky Description The ... Louisville Kentucky Description The Senior Insurance Product Compliance Professional Performs consultation and research for ... certificate..
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. ..
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 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 ..
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 ..
Description Humana's Finance Shared Services organization is looking for a Senior Finance Acquisition Integration Professional to drive project-oriented duties related to the finance integration of acquired entities into Humana. Responsibilities As ..
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 ..
... Information Humana Senior Market Development Professional - Behavioral Health/Medicaid in Louisville ... Description The Senior Market Development Professional provides support to assigned health ... submissions. The Senior Market Development..
... Group Medicare Senior Proposal Development Professional-Remote/Virtual in Louisville Kentucky Description The ... Group Medicare Senior Proposal Development Professional curates content and collaborates with ... Group Medicare Senior Proposal Development..
... 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 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 ..
... Humana Finance M&A Integration Senior Professional (Remote) in Louisville Kentucky Description ... a Finance M&A Integration Senior Professional to drive best practices and ... the Finance M&A Integration Senior..
... Information Humana Senior Quality Improvement Professional - EPSDT - Office / ... Description The Senior Quality Improvement Professional-EPSDT (Early Periodic Screening Diagnosis and ... Responsibilities The Senior Quality Improvement..
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 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 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 ..