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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. ..
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Description The Actuarial Analyst 2, Pricing is responsible for ... and custom benefits. The Actuarial Analyst 2, Pricing work assignments are ... of action. Responsibilities The Actuarial Analyst 2, Pricing..
Description The Senior Medical/Financial Risk Evaluation Professional is responsible ... development, implementation and monitoring of medical/financial risk. The Senior Medical/Financial Risk Evaluation Professional work assignments ... - working to meet..
... reconciliation of ledger accounts and financial statements such as balance sheets, ... accounting policies and principles. Provides financial support, including analyzing variations from ... the business. Review and prepare..
Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of ..
Description The Senior Value-Based Financial Analyst supports successful value-based provider relationships ... well-being Responsibilities The Senior Value-Based Financial Analyst advises executives to develop functional ... best course of action. Produces..
Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new ..
Description The Account Management Financial Analyst analyzes and forecasts financial, economic, and other data to ... strategic and operational decisions. This Financial Analyst work assignments are varied and ... and..
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 ..
... subject matter expert (SME) for financial claims analytics and work in ... subject matter expert (SME) for financial claims analytics and work in ... claims for accurate forecasting of..
... corporate and consumer needs. Analyzes financial impact of contracts and terms. ... and network administration in a healthcare company or healthcare system Medicaid behavioral health contracting ... in analyzing,..
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..
Description The Senior Pharmacy Clinical Advisor serves as a business consultant for the Quality Network and Clinical & Quality Innovation programs supporting Patient Safety and Stars goals of combining clinical Rx ..
Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future. Within Strategy Operations, you will ..
Description Responsibilities This role within the Autism Care Demonstration (ACD) Team, will work closely with Care Management leaders and Subject Matter Experts in the areas of Case Management, Utilization Management and ..
Description The Group Medicare Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to ..
... and/or provision of consumer-centric, integrated healthcare to help millions of Humana ... strategic initiatives and in our healthcare platform to develop and maintain ... broad understanding of the integrated..
... that deliver clinical, experiential and financial outcomes. Build and manage a ... solutions that achieved clinical and financial outcomes Competence working on very ... insights Bachelor's degree in Business,..
... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With a history of transformation ... about solving big problems in..
Description The Pharmacy Clinical Advisor Professional 2 is an integral part of the Pharmacy Stars team which is accountable for Humana's Patient Safety and medication related Star measure performance. The Pharmacy ..
... Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... information for claims reserve valuation, financial forecasting, and strategic and operational ... Delivery Finance. Evaluates industry, economic,..
Description The Financial (Pricing) Analyst analyzes and forecasts financial, economic, and other data to ... strategic and operational decisions. This Financial Analyst work assignments are varied and ... Pharmacy Analytics..
Description The Associate Actuary, Medicaid Trend will lead the Inpatient Early Indicator Report process for all Medicaid markets in order to analyze emerging experience, identify opportunities for trend-bending initiatives, and guide ..