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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 ..
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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 ..
Description Responsibilities The Grievances & Appeals Representative 4 assists members, via phone or face to face, further/support quality related goals. Reviews the level 1 appeals cases and ensures that information is ..
Job Information Humana Actuary, Analytics/Forecasting in Vancouver Washington Description The Actuarial Product Manager manages the ecosystem of actuarial tools, models, and methodology for a focused yet complex subset of the Individual ..