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1 - 10 of 29 matches in 0.004 seconds
AVP - SRE Digital Transformation (JC168926414)
Last Updated: 2020-09-27
Employer: Humana
Location: Dover, DE

Description

The Associate Vice President – SRE Digital Transformation will be accountable for building and leading a team of individuals who are responsible for driving technology & systems quality, resiliency, availability and operational efficiency improvements across the enterprise.

Responsibilities

Responsibilities:

+ Primary executive responsible for leading the Humana SRE organization…

Subrogation Professional 2- in office or WAH in US (JC168926673)
Last Updated: 2020-09-27
Employer: Humana
Location: Dover, DE

Description

The Subrogation Professional 2 iIdentifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health insurance. The Subrogation Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate…

Payment Integrity Professional 2 - Work at home (JC169118352)
Last Updated: 2020-09-27
Employer: Humana
Location: Dover, DE

Description

The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our financial recovery. The Payment Integrity Professional 2 work assignments are varied and frequently require interpretation and independent determination of…

Director - Azure Hosting Engineering (JC168827170)
Last Updated: 2020-09-27
Employer: Humana
Location: Dover, DE

Description

Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the people we serve, Humana starts from within, and is committed to providing progressive benefits that advance the employment experience…

Agency Management (Finance Support/Data Analysis) Profession (JC168827107)
Last Updated: 2020-09-27
Employer: Humana
Location: Dover, DE

Description

Responsibilities

The Agency Management Professional 2 is responsible for daily processes that maintain the necessary state license and appointments for all producers contracted by Humana. This involves the following:

• Synchronizing Humana files with our third party vendor on licenses and appointments• Using database tools to identify and terminate…

Senior Channel Development Professional: Pharmacy Integratio (JC168827109)
Last Updated: 2020-09-27
Employer: Humana
Location: Dover, DE

Description

The Senior Channel Development Professional will support department and team strategic goals by developing and executing key initiatives to support Mail Order Pharmacy & Specialty Pharmacy growth. These initiatives will effectively drive key growth and utilization metrics, measures and other goals thus achieving team and departmental objectives. These project…

Edge Medical Director - Part Time Weekends (JC168827153)
Last Updated: 2020-09-27
Employer: Humana
Location: Dover, DE

Description

The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

Title: Edge Medical Director – Part Time Weekends

Schedule: Friday, Saturday and…

Data Science Manager (JC168827232)
Last Updated: 2020-09-27
Employer: Humana
Location: Dover, DE

Description

The Data Science Manager within Provider Payment Integrity uses their amazing leadership skills and improvement process experience to lead a team of six extraordinary associates that are highly skilled located throughout the country. Your dedicated team is focused on helping Humana find new ways to improve current and/or create…

Senior Channel Development Professional (OTC) (JC169118338)
Last Updated: 2020-09-27
Employer: Humana
Location: Dover, DE

Description

The Senior Channel Development Professional defines the sales product strategy for single or multiple lines of business targeting specific markets and/or business segments.

Responsibilities

This business development professional will work to develop additional PBM partnerships in the Over-the-Counter line of business.

Responsibilities include the following:

+ Create pipeline of…

Senior Policy Governance Professional - Care Delivery Organi (JC169211455)
Last Updated: 2020-09-27
Employer: Humana
Location: Dover, DE

Description

The Senior Policy Governance Professional policy Governance is the combination of Compliance processes established and executed that are reflected in the organization’s structure and how it is managed and led toward achieving goals. The Senior Policy Governance Professional work assignments involve moderately complex to complex issues where the analysis…

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