Resource Manager Jobs

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 ..

Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..

Description The Associate Director, Vendor Management works as liaison between vendors and organization. The Associate Director, Vendor Management requires a solid understanding of how organization capabilities interrelate across department(s). Responsibilities The ..

Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..

Job Information Humana Senior Market Development Professional - Behavioral Health/Medicaid in Cincinnati Ohio Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicaid ..

Job Information Humana Finance M&A Integration Senior Project Manager in Cincinnati Ohio Description Humana's Finance Shared Services organization is looking for a Finance M&A Integration Senior Project Manager to drive project-oriented ..

Job Information Humana Medical Claims Processing Representative 2 in Cincinnati Ohio Description The Medical Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. ..

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 Senior Market Development Professional-RN-WAH Nationwide in Cincinnati Ohio Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, ..

Description The Insurance Product Manager 2 manages insurance product offerings for each market and customer need. The Insurance Product Manager 2 work assignments are varied and frequently require interpretation and independent ..

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 ..

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 ..

Description Responsibilities The Insurance Product Manager 2 will: Research each State's Medicaid rules, as it pertains to base benefits, expanded benefits, competitive analysis, etc. for intelligence gathering and strategy formulation Responsible ..

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 Senior Insurance Product Manager Manages insurance product offerings for Part D. The Senior Insurance Product Manager work assignments involve moderately complex to complex issues where the analysis of situations ..

Description The Associate Director, Consumer Engagement oversees the enrollment, education, engagement, and activation duties for client groups regardless of segment, and for product where warranted. The Associate Director, Consumer Engagement requires ..

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 ..

Job Information Humana Insurance Product Manager 2 - Part D in Cincinnati Ohio Description The Part D Team is responsible for leading, planning and tracking all phases of the product life ..

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 ..

Job Information Humana Specialty Pharmacy RX Enrollment Manager in Cincinnati Ohio Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying member ..

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 ..

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 Specialty Pharmacy RX Education Manager in Cincinnati Ohio Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying member ..