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Full Time

The Manager, Payment Integrity 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 Manager, Payment Integrity works withi...

Louisville, KY, USA

Full Time

The Risk Adjustment Representative 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. The Risk Adjustment Representative schedules via/phone/fax/email on-site visits for our retrieval st...

Minnetonka, MN, USA

Full Time

The CyberSecurity Operations Center Engineer 1 develops and executes security controls, defenses and countermeasures to intercept and prevent internal or external attacks or attempts to infiltrate company email, data, e-commerce and web-based systems. The ...

Louisville, KY, USA

Full Time

The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for memb...

Miami, FL, USA

Full Time

The Driver 1 occasionally picks up and delivers packages. Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and gui...

Brooklyn, NY, USA

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Full Time

The Senior Manager, MarketPoint Sales will supervise Medicare Sales Representatives who sell the portfolio of products offered to the Medicare population. In this role you be responsible for leading a team of 6-10 career sales agents and more generally a l...

Fairfax, VA, USA

Full Time

The Director, Health Services utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health Services requires an in-depth understanding o...

Chicago, IL, 60661, USA

Full Time

This position is a key member of the branch service team. The Sales Executive is responsible for managing and developing active relationships with leading referral sources and influencers the local market. This individual must gain a comprehensive and deep...

Vero Beach, FL, USA

Full Time

The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Ca...

Clearwater, FL, 33759, USA

Full Time

The Risk Adjustment Professional 2 ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines while analyzing coding information an...

Chicago, IL, USA

Full Time

Humana’s Care Delivery Organization (CDO) is a growing segment of our business, and is highly visible to executive leadership. The Technology Leader will be responsible for building true strategic partnerships, and managing the relationship between Humana’...

Louisville, KY, USA

Full Time

The DMS Sales Agent qualifies prospects and attempts to close sale. Arranges for field representative to visit prospect if sales are not closed. May originate calls from leads. Understands department, segment, and organizational strategy and operating obje...

Middleton, WI, USA

Full Time

The Physician focuses on outpatient medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records. Refers the patient to specialists as needed. Begins to influence department’s strategy. Makes decisio...

Orlando, FL, USA

Full Time

The Senior Manager, MarketPoint Sales will supervise Medicare Sales Representatives who sell the portfolio of products offered to the Medicare population. In this role you be responsible for leading a team of career sales agents and more generally a large ...

Trenton, NJ 08618, USA

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