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Personal Injury Case Manager The candidate will be responsible for handling pre-suit personal injury claims from inception to settlement Must be able to gather analyze and research information and documents and ..
Description The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, ..
Job Information Humana Senior Informaticist - Remote or Office in Saint Augustine Florida Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our ..
Job Information Humana Administrative Coordinator in Saint Augustine Florida Description The Administrative Coordinator (Business Support Coordinator) follows established procedures and guidelines to provide timely and effective clerical support to the Associate ..
Job Information Humana Project Manager 2 - Remote in US in Saint Augustine Florida Description The Project Manager 2 manages all aspects of Medicaid projects as it relates to Availity, from ..
Job Information Humana Manager, Fraud and Waste-Remote US in Saint Augustine Florida Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..
Description The Senior Market Finance Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The Northeast Region is seeking a Senior ..
Job Information Humana Senior Market Finance Professional - New York, NY or Remote in Saint Augustine Florida Description The North East Region is seeking a Senior Market Finance Professional to partner ..
Description Come join the Data Governance office as Lead, Enterprise Data Governance! In this role you can help grow and implement the company's data use and external data strategies. Through applying ..
Job Information Humana Consumer Experience Lead-Remote in US in Saint Augustine Florida Description The Consumer Experience Lead ensures optimized interaction between a company and members. The Consumer Experience Lead works on ..
Job Information Humana Learning Facilitation Professional 2- Remote in US in Saint Augustine Florida Description The Learning Facilitation Professional 2 conducts or facilitates training courses for organization employees or external audiences. ..
Description The Market Finance Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The Northeast Region is seeking a Market Finance ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
Job Information Humana Fraud and Waste Investigator-Remote in US in Saint Augustine Florida Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud ..
Description The North East Region is seeking a Senior Finance Analyst to partner closely with our local market Clinical leadership to provide support through complex analytics and reporting. The role's work ..
Description The Claims Processing Representative reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Claims Processing Representative performs varied activities and moderately complex administrative/operational/customer support assignments. ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Saint Augustine Florida Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
Job Information Humana Senior Project Manager - Remote in US in Saint Augustine Florida Description The Senior Project Manager manages all aspects of Medicaid projects as it relates to Availity, from ..
Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain high quality ..
Description The Project Manager manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Manager work assignments are varied ..
Job Information Humana Learning Design Professional 2- Remote in US in Saint Augustine Florida Description The Learning Design Professional 2 uses instructional design, cognitive psychology and adult learning theory to determine ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Description The Healthcare Financial Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The East Central Region is seeking a Healthcare ..