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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. ..
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 ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships ... goals. The Senior Value-Based Programs Analyst works on problems of diverse ... Responsibilities The Senior Value-Based Programs Analyst..
... Location: Remote The Strategy & Operations Lead provides data-backed strategic direction ... the enterprise (e.g. clinical, quality, operations, analytics). You will work with ... this context, the Strategy &..
Description The Market Development Professional 2 provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development ..
... Information Humana Senior Consumer Service Operations Analyst-Remote KY, IN or WI in ... Description The Senior Consumer Service Operations Professional is responsible for the ... area. The Senior Consumer..
Description The Healthcare Financial Analyst collects, analyzes, and reports on ... Central Region is seeking a Healthcare Financial Analyst to partner closely with our ... complex analytics and reporting. The..
... markets through the analysis of healthcare data, identification of target patient ... field or 5 years of healthcare operations or clinical experience Experience in ... clinical experience Experience in..
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 ..
Job Information Humana Market Network Operations Lead (Behavioral Health) - KY ... Description The Behavioral Health Network Operations Lead will be our Subject ... claims data needed for service operations...
Description The Operations Supervisor, Inbound Contacts represents the company by addressing incoming telephone, digital, or written inquiries. The Supervisor, Inbound Contacts works within thorough, prescribed guidelines and procedures; uses independent judgment ..
OverviewnThe System Healthcare Analyst, Controlled Substance Accountability: Audit and ... for Controlled Substance Accountability. The analyst will monitor compliance to UofL ... in the performance of daily operations through accuracy..
... Advisor - Medicaid Provider Service Operations in Louisville Kentucky Description The ... Advisor - Medicaid Provider Service Operations provides support to assigned health ... to Medicaid Group product implementation,..
OverviewnUnder general direction, responsible for application and integration of information technology in the healthcare setting. This position will serve as a liaison between the IT department and operations to align system ..
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 ..
Description The Network Operations Lead maintains provider relations to support customer service activities through data integrity management and gathering of provider claims data needed for service operations. The Network Operations Lead ..
Description The Senior Value-Based Analyst supports successful value-based provider relationships ... path-to-value goals. The Senior Value-Based Analyst works on problems of diverse ... substantial. Responsibilities The Senior Value-Based Analyst advises..
... Information Humana Senior Consumer Service Operations in Louisville Kentucky Description The ... Description The Senior Consumer Service Operations Professional is responsible for the ... area. The Senior Consumer Service..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
Job Information Humana Network Operations Lead - Behavioral Health/Medicaid in ... Louisville Kentucky Description The Network Operations Lead maintains provider relations to ... claims data needed for service operations. The..
... of our members. Humana Clinical Operations (HCO) provides direct support to ... reporting environment related to clinical operations. Immerse yourself in clinical processes, ... PowerBI Experience working in the..
Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
Description The Senior Value-Based Financial Analyst supports successful value-based provider relationships ... Responsibilities The Senior Value-Based Financial Analyst advises executives to develop functional ... Qualifications Bachelor's degree in Business, Healthcare,..