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Job Information Humana Senior Business Intelligence - Medicaid in Portland Maine Description The Senior Business Intelligence Engineer solves complex business problems and issues using data from internal and external sources..
Description The Senior Pharmacy Claims Professional adjudicates pharmacy claims and process pharmacy claims for payment. The Senior Pharmacy Claims Professional work assignments involve moderately complex to complex issues where the..
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 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 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..
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..
(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) Senior Loss Control Consultant Job Description At Alexander &..
(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) Loss Control Field Representative Job Description At Alexander &..
Job Information Humana Senior Finance Acquisition Integration in Portland Maine Description Humana's Finance Shared Services organization is looking for a Senior Finance Acquisition Integration Professional to drive project-oriented duties related..
Job Information Humana Pharmacy Claims Specialist, Remote in Portland Maine Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2..
Alternate Locations: Atlanta, GA (Georgia); Charlotte, NC (North Carolina); Dover, NH (New Hampshire); Omaha, NE (Nebraska); Phoenix, AZ (Arizona); Work from Home Work Arrangement: Hybrid/Home Relocation assistance: is not available..
Alternate Locations: Work from Home; Atlanta, GA (Georgia); Austin, TX (Texas); Bakersfield, CA (California); Baltimore, MD (Maryland); Baton Rouge, LA (Louisiana); Birmingham, AL (Alabama); Boise, ID (Idaho); Boston, MA (Massachusetts);..
Job Information Humana Director, Behavioral Health Network & Market Strategy (Medicaid) in Portland Maine Description The Director, Behavioral Health (BH) Network and Market Strategy will insure that the appropriate providers..
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..
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..
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 Summary: Responsible for investigating and confirming the facts of loss for the most complex Homeowner's Claims. Determines coverage, damages and otherwise adjusts and negotiates claims within limit of authority...
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..