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Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..
Description The Compliance Lead (SNP) ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities The Compliance Lead (SNP) ..
Description Be a part of the Software Asset Management (SAM) team reporting directly to the Humana Software Asset Management Licensing Lead. Humana is seeking a Software Entitlement and Compliance Specialist who ..
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 Integration Specialist - Cloud in Aberdeen South Dakota Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating functional silos existing between ..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Aberdeen South Dakota Description The Fraud and Waste Professional 2 conducts investigations of allegations ..
Job Information Humana Pharmacy Claims Specialist, Remote in Aberdeen South Dakota Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 ..
Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Aberdeen South Dakota Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent ..
Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..
Description The Claims Research & Resolution Specialist 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..
Description The Lead Technology Support Specialist enables a reliable technology experience for Humana's senior leaders (C-suite, SVPs, etc.) and their staff members. The Lead Technology Support Specialist maintains, repairs, and troubleshoots ..
Description The Procurement Specialist ensures that the department's materials and products meet all of their specifications. We are looking for a Procurement Specialist to join our team and help manage our ..
Description The Talent Acquisition Sourcing Specialist will support our Talent Acquisition Recruiters by identifying and attracting candidates. The Talent Acquisition Sourcing Specialist will utilize social networking sites, job boards, and internal ..
Description The Pharmacy Development Specialist will be responsible for qualifying and managing new business leads and cultivating prospects and sales. Responsibilities Summary The Business Development Specialist will be responsible for managing ..
Description The Senior Product Marketer Develops, directs, and executes the go-to-market approach for a significant product or product category. The Senior Product Marketer work assignments involve moderately complex to complex issues ..
Contract Specialist/Administrator/Negotiator, Procurement Analyst (Supervisory/Non/Lead), GS 11-15 Duties: The candidate will be responsible for the procurement of highly specialized equipment, components and systems for high-rise buildings and their operating systems, the ..
Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..
... for a ServiceNow PPM Technology Specialist to help drive and deliver ... Description The ServiceNow PPM Technology Specialist will work as part of ... application. The Senior Technology PPM..
Job Information Humana Specialty Drug Site of Care Specialist in Aberdeen South Dakota Description The Specialty Pharmacy Programs Clerk 2 supports clinical programs and comprehensive insights directly related to Specialty Pharmacy ..
Job Information Humana Vulnerability Remediation Specialist (Remote) in Aberdeen South Dakota Description The Systems Engineer 2 is responsible for design, analysis, configuration and maintenance of complex systems software solutions, based on ..
Job Information Humana Vendor Management Specialist 3 in Aberdeen South Dakota Description The Vendor Management Specialist 3 works as liaison between vendors and organization. The Vendor Management Specialist 3 performs varied ..
Description Humana is seeking a Software Entitlement and Compliance Specialist who will be accountable for partnering with specific business areas to support both hardware and software asset management processes including full ..
Description The UM Specialist /UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..