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Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
Description This position reports through Humana Pharmacy Supply Chain (PSC) team and performs various supply chain, financial and vendor management related tasks in support of Humana Pharmacy operations including, but not ..
Description The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request ..
Job Information Humana Actuary, Analytics/Forecasting in Sandy Utah Description The Actuarial Product Manager manages the ecosystem of actuarial tools, models, and methodology for a focused yet complex subset of the Individual ..
