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Description The Medical Coding Coordinator 2 extracts clinical ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
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Description The Large Group Medical Underwriter computes rates for both ... Responsibilities As a Large Group Medical Underwriter you will make the ... the product. The Large Group Medical Underwriter..
Job Information Humana Insurance Product Manager 2 - Part D in Newport Rhode Island Description The Part D Team is responsible for leading, planning and tracking all phases of the product ..
Job Information Humana Pharmacy Claims Specialist, Remote in Newport Rhode Island Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 ..
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 Senior Insurance Product Compliance Professional in Newport ... Rhode Island Description The Senior Insurance Product Compliance Professional Performs consultation ... certificate language development. The Senior Insurance Product..
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 Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer ..
Job Information Humana Insurance Product Management Representative 2 in ... Newport Rhode Island Description The Insurance Product Management Representative 2 Manages ... Product Management Representative 2 Manages insurance product offerings..
Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
Job Information Humana Senior Finance Acquisition Integration in Newport Rhode Island Description Humana's Finance Shared Services organization is looking for a Senior Finance Acquisition Integration Professional to drive project-oriented duties related ..
Description The Lead Behavioral Health Medical Director oversees the work of ... oversees the work of 2 Medical Directors who conduct clinical case ... themselves. The Lead Behavioral Health Medical..
... Company supported Owner Operator health insurance program New bonus for 2022, ... company provided transponder Paid cargo/liability insurance Friendly and professional office support ... Spouse/Significant Other Pets All Benefits..
... proof of personal vehicle liability insurance with at least 100/300/100 limits ... program Preferred Qualifications Active Health Insurance license Active Life Insurance license Associate's or Bachelor's degree ... to..
Description The Claims Review Representative 4 (formerly Team lead), Financial Recovery Overpayment Team makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. ..
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 Medical Claims Processing Representative 2 in ... Newport Rhode Island Description The Medical Claims Processing Representative 2 reviews ... Go365 perks for well-being Responsibilities Medical Claims Processing..
Job Information Humana Specialty Pharmacy RX Enrollment Manager in Newport Rhode Island Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying ..
Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of ..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in Newport Rhode Island Description The Director, Behavioral Health (BH) Network and Market Strategy will insure that the appropriate providers ..
Job Information Humana Enterprise Risk Management Lead-US-Remote in Newport Rhode Island Description The Sales Conduct Risk Management Lead a critical member of Humana's Third Party Risk Management Program (TPRM), a 2nd ..
