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111

Healthcare Claim Analyst Jobs in Kentucky





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Job info
 
Company
**********
Location
Louisville, KY
Posted Date
Nov 27, 2020
Info Source
Employer  - Full-Time  90  

Job Information Humana Healthcare Data Analyst in Louisville Kentucky Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. ..

 
Company
**********
Location
Louisville, KY
Posted Date
Dec 09, 2020
Info Source
Employer  - Full-Time  90  

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..

 
Company
Deloitte Development, LLC
Location
Frankfort, KY
Posted Date
Feb 17, 2021
Info Source
Employer  - Full-Time  90  

13,738 Job Information Deloitte Healthcare Data Analytics & Visualization Consultant ... Visualization Consultant in Frankfort Kentucky Healthcare Data Analytics and Visualization Consultant ... expertise on Medicare (preferably Claims) Healthcare Analytics..

 
Company
Humana Inc.
Location
Louisville, KY
Posted Date
May 04, 2023
Info Source
Employer  - Full-Time  90  

... mission of supporting the TRICARE healthcare program for our nation's military? ... years of experience in a healthcare or managed care setting 3 ... 3 years of experience in..

 
Company
**********
Location
Louisville, KY
Posted Date
Dec 25, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

 
Company
**********
Location
Louisville, KY
Posted Date
Feb 09, 2021
Info Source
Employer  - Full-Time  90  

Description The Health Information Management Professional 2 ensures data integrity for claims errors. The Health Information Management Professional 2 work assignments are varied and frequently require interpretation and independent determination of ..

 
Company
**********
Location
Louisville, KY
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..

 
Company
**********
Location
Louisville, KY
Posted Date
Apr 16, 2022
Info Source
Employer  - Full-Time  90  

Description Responsibilities The Claims Quality Audit Professional 1 works with the Resolution Quality Audit leadership team to support efficiency and day to day operations. Requires in-depth knowledge of Microsoft products Excel, ..

 
Company
**********
Location
Louisville, KY
Posted Date
Jun 26, 2023
Info Source
Employer  - Full-Time  90  

Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..

 
Company
**********
Location
Louisville, KY
Posted Date
Aug 01, 2021
Info Source
Employer  - Full-Time  90  

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..

 
Company
**********
Location
Louisville, KY
Posted Date
Dec 05, 2022
Info Source
Employer  - Full-Time  90  

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

 
Company
**********
Location
Louisville, KY
Posted Date
Sep 24, 2021
Info Source
Employer  - Full-Time  90  

Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments ..

 
Company
**********
Location
Louisville, KY
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Louisville Kentucky Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..

 
Company
**********
Location
Louisville, KY
Posted Date
Dec 11, 2021
Info Source
Employer  - Full-Time  90  

... Humana Lead Product Manager - Healthcare API in Louisville Kentucky Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..

 
Company
Humana Inc.
Location
Louisville, KY
Posted Date
Jun 02, 2021
Info Source
Employer  - Full-Time  90  

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

 
Company
**********
Location
Louisville, KY
Posted Date
Jun 13, 2023
Info Source
Employer  - Full-Time  90  

Description The Health Information Management Professional 2 ensures data integrity for claims received. The Health Information Management Professional 2 work assignments are varied and frequently require interpretation and independent determination of ..

 
Company
**********
Location
Louisville, KY
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Senior Consumer Service Operations Analyst-Remote KY, IN or WI in Louisville Kentucky Description The Senior Consumer Service Operations Professional is responsible for the daily activities across multiple service ..

 
Company
**********
Location
Louisville, KY
Posted Date
Dec 02, 2022
Info Source
Employer  - Full-Time  90  

Description The Senior Compliance Professional ensures compliance with governmental requirements, specifically risk adjustment coding and medical record document requirements. This role acts as the second line of defense by providing oversight ..

 
Company
**********
Location
Frankfort, KY
Posted Date
Mar 23, 2021
Info Source
Employer  - Full-Time  90  

16,436 Job Information Deloitte Federal Healthcare Data Analytics and Visualization Analyst in Frankfort Kentucky Federal Healthcare Data Analytics and Visualization Analyst Are you a Federal Data ... expertise on Medicare..

 
Company
**********
Location
Louisville, KY
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
Humana Inc.
Location
Louisville, KY
Posted Date
Jun 18, 2023
Info Source
Employer  - Full-Time  90  

Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ..

 
Company
**********
Location
Louisville, KY
Posted Date
Jun 13, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

 
Company
**********
Location
Louisville, KY
Posted Date
Mar 03, 2022
Info Source
Employer  - Full-Time  90  

Description The Health Information Management Professional 2 ensures data integrity for claim errors while maintaining ongoing research and special projects. The Health Information Management Professional 2 work assignments are varied and ..

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