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Description The Senior Product Manager of Commercial Retiree Solutions supports development, delivery, and management of the pre-retiree product portfolio on behalf of both the Employer and Group Medicare businesses. By participating ..
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Description Humana's dream is to help our members and our own associates achieve life-long well-being. Use your clinical experience to work with members, providers and community services in a nontraditional environment ..
... be primarily responsible for the medical cost trend analysis and initiative ... Trend Analytics Professionals to analyze medical unit cost and utilization trends ... and facilitation skills Familiarity with..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
Description The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a framework ..
... 3 years or more Health Insurance Sales and/or Account Management experience. ... experience. Active Life & Health Insurance License in the state of ... Florida (Florida 2-15). Background in..
Description The Medical Records Retrieval Representative travels to ... within the region and scans medical records into a secure system. ... a portable scanner to retrieve medical records which will..
... conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes ... within the region and scans medical records into a secure system. ... a portable scanner to retrieve..
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 ..
Description The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly ..
... The Risk Adjustment Representative 2 (Medical Record Retrieval Rep) performs varied ... within the region and scans medical records into a secure system. ... a portable scanner to retrieve..
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 ..
... Claims Adjuster for our travel insurance brand Tin Leg. This is ... be responsible for adjusting travel insurance claims. They should possess a ... possess a superior knowledge of..
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..
Description The Senior Product Manager, Commercial Product supports development, delivery, and management of the pre-retiree product portfolio on behalf of both the Employer and Group Medicare businesses. By participating in and ..
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,..
... 3 years or more Health Insurance Sales and/or Account Management experience ... experience Active Life & Health Insurance License in the state of ... Florida (Florida 2-15) Background in..
Description The Senior Medical/Financial Risk Evaluation Professional is responsible ... development, implementation and monitoring of medical/financial risk. The Senior Medical/Financial Risk Evaluation Professional work assignments ... their financial, social, emotional..
... Transformation Management Office, the Chief Medical Organization, and teams from across ... the Home Operations as well Medical Review, Market Quality Operations, and ... processes found within the Chief..
