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Description The Actuarial Analyst 2, 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,..
Description The Claims Review Representative 3 makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. The Claims Review Representative 3 performs..
Description The Medical Coding Coordinator 2 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The..
Description The Actuarial Analyst 2, Pricing is responsible for developing pricing assumptions for Humana's Medicare dental and vision products. Supports implementation of rates, new plans and benefit changes. Provides guidance..
Apply now Apply Now Start applying with LinkedIn Start Please wait... Date Posted: Jun 6, 2022 Location(s): Warwick, RI, US, 2886 Remote, US, 0 Greenville, SC, US, 29607 Oriskany, NY,..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member..
Job Information Humana Senior Finance Acquisition Integration in Newport Rhode Island Description Humana's Finance Shared Services organization is looking for a Senior Finance Acquisition Integration Professional to drive project-oriented duties..
Overview nFM Global is a leading property insurer of the world's largest businesses, providing more than one-third of FORTUNE 1000-size companies with engineering-based risk management and property insurance solutions. FM..
Description The Claims Review Representative 4 (formerly Team lead), Financial Recovery Overpayment Team makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal..
Job Information Humana Specialty Pharmacy RX Enrollment Manager in Newport Rhode Island Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success,..
Type of Requisition: Regular Clearance Level Must Be Able to Obtain: None Job Family: Healthcare Claims General Dynamics Information Technology and CSRA have united to create the premier provider of..
Description The Senior Health Information Management Professional work assignments involve moderately complex to complex issues to work with various teams to develop business requirements, track and monitor the success of..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in Newport Rhode Island Description The Director, Behavioral Health (BH) Network and Market Strategy will insure that the appropriate..
Description Humana's Finance Shared Services organization is looking for a Senior Finance Acquisition Integration Professional to drive project-oriented duties related to the finance integration of acquired entities into Humana. Responsibilities..
Job Information Humana Pharmacy Claims Specialist, Remote in Newport Rhode Island Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative..
Apply now Apply Now Start applying with LinkedIn Start Please wait... Date Posted: Jun 27, 2022 Location(s): Warwick, RI, US, 2886 Company: MetLife Title: Sr. Customer Care Advocate- Annuities- $22.10/hr..
Apply now Apply Now Start applying with LinkedIn Start Please wait... Date Posted: Jun 27, 2022 Location(s): Warwick, RI, US, 2886 Company: MetLife Title: Sr. Customer Care Advocate - Life..
Apply now Apply Now Start applying with LinkedIn Start Please wait... Date Posted: Aug 1, 2022 Location(s): Warwick, RI, US, 2886 Oriskany, NY, US, 13424 Tampa, FL, US, 33647 Company:..
Apply now Apply Now Start applying with LinkedIn Start Please wait... Date Posted: May 23, 2022 Location(s): Warwick, RI, US, 2886 Company: MetLife Location: Virtual within commutable distance of Warwick..