Resource Manager Jobs

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 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 ..

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

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 ..

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 ..

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

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 ..

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

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 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 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 ..

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

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 ..

Job Information Humana Senior Market Development Professional-RN-WAH Nationwide in Portland Maine 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 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 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 ..

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 ..

Aon is looking for a Casualty Claims ConsultantWe currently have a great career opportunity for a Casualty Claims Risk Consultant near our Portland or Seattle office. It is the responsibility of ..

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

Job Information Humana Enterprise Risk Management Lead-US-Remote in Portland Maine Description The Sales Conduct Risk Management Lead a critical member of Humana's Third Party Risk Management Program (TPRM), a 2nd Line ..

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