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11 - 20 of 121 matches in 0.011 seconds
EDI Software Architect (JC155439887)
Last Updated: 2020-07-07
Employer: Humana
Location: Chicago, IL

Description

The Senior Application Architect designs and develops IT applications architecture solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Medical Director, I-SNP (JC155799097)
Last Updated: 2020-07-07
Employer: Humana
Location: Chicago, IL

Description

Role: Medical Director, I-SNPLocation: Chicago, IllinoisTravel: 10% within RegionThe Medical Director will provide insight and thought leadership to develop and maintain external relationships across the healthcare ecosystem with a focus on Humana’s Medicare Advantage, I-SNP product. This role will support visibility and growth of Humana brand across the…

Actuary -Analytics/Forecasting (JC158311446)
Last Updated: 2020-07-07
Employer: Humana
Location: Chicago, IL

Description

The Actuary, Analytics/Forecasting analyzes and forecasts authorization and clinical metrics understanding impacts from operational decisions and industry trends. Establishes metrics, provides data analyses, and works directly with key parties to support business intelligence. Evaluates authorizations, claims and market trends to evaluate short, medium and long-term financial impacts due to…

HHA/CNA (JC118435136)
Last Updated: 2020-07-07
Employer: Humana
Location: Chicago, IL

Description

The Caregiver 1 provides patients with assistance in activities in daily living. The Caregiver 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments.

Responsibilities

The Caregiver 1 addresses needs related to disabilities, disease and mental impairment. Helps to manage medications, baths and dresses, takes care…

Lead Cloud Architect-(virtual remote home office eligible) (JC157843301)
Last Updated: 2020-07-07
Employer: Humana
Location: Chicago, IL

Description

Responsibilities

Lead Cloud Security Architect

We are searching for experienced Cloud Security Architects who can utilize solid business knowledge and expert technical experience in security to help develop strategy, roadmap and execution for our Cloud Security program. As an architect you will assist in the identification, analysis, evaluation, life-cycle…

Senior Software Engineer - J2EE (JC163346625)
Last Updated: 2020-07-07
Employer: Humana
Location: Chicago, IL

Description

The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

Join us and be a part of the unique opportunity to…

Referrals Coordinator 2 (JC163386789)
Last Updated: 2020-07-07
Employer: Humana
Location: Chicago, IL

Description

The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

Responsibilities

Under direct clinical supervision, the Referrals Coordinator 2 will process referrals from Military Treatment…

Associate Actuary, Pricing (JC159838599)
Last Updated: 2020-07-07
Employer: Humana
Location: Chicago, IL

Description

The Associate Actuary, Pricing 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 plans and benefit changes. Provides guidance to Product Development on new product/benefit cost impacts. Develops and maintains pricing tools…

Redetermination Representative (JC160248928)
Last Updated: 2020-07-07
Employer: WPS Health Solutions
Location: West Frankfort, IL

Description

Earn more as a top performer at WPS Health Solutions!

(Must be within a daily commutable distance to West Frankfort, IL to qualify for this remote position)

Role Summary:

The Redetermination Representative will respond to requests for first level appeals. This role reviews and compares processed claims with edit/audit…

Senior Provider Engagement Professional (JC160240891)
Last Updated: 2020-07-07
Employer: Humana
Location: Chicago, IL

Description

The Senior Provider Engagement Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The Senior Provider Engagement Professional work assignments involve moderately complex to complex issues…

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