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Description The Claims Research & Resolution Representative 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both..
Job Information Humana UM Administration Coordinator (M-F or Tu-Sa Schedules Available) - REMOTE/WORK AT HOME (Anywhere in the US) in Newport Rhode Island Description The UM Administration Coordinator 2 contributes..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Newport Rhode Island Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading..
Description Humana Corp is seeking a Senior Technology Leadership Professional who is self-motivated, tech savvy, curious and loves the challenge of solving problems that improve people's lives. You'll collaborate with..
Job Description As the Senior Analyst, Process you will be responsible for guiding efforts to ensure reliability across the Clinical & Government Services Operations organization. You will coordinate with business..
Job Information Humana Manager, Inside Sales (Work at Home) in Newport Rhode Island Description Are you a proven sales leader looking for an opportunity to join a leading Healthcare organization?..
Description Humana is focused on helping people achieve wellness, which includes peace of mind knowing their most sensitive data - information on their health - is secure from prying eyes...
Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific..
Description The Lead Solutions Architect works with user groups to solve business problems with available technology including hardware, software, databases, and peripherals. The Lead Solutions Architect works on problems of..
Description The Senior Enterprise Observability (Splunk) Engineer devises an effective strategy for executing and delivering on IT business initiatives. This position will involve a range of Splunk engineering and configuration..
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..
Job Information Humana Data and Reporting Assistant: REMOTE/WORK AT HOME (Anywhere in the US or Puerto Rico) in Newport Rhode Island Description The Data and Reporting Assistant 2 generates reports..
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..
Job Information Humana Senior Incident Response Engineer (virtual home office remote eligible) in Newport Rhode Island Description The Senior Incident Response Engineer will be part of a dynamic, growing team,..
Description The Cyber Intelligence Threat Analyst (TVM Engineer 2) ensures that threats and vulnerabilities to the organization's business systems and applications (both in-house and cloud-based) are minimized. The Cyber Intelligence..
Description The IT Project Manager 2 oversees various system projects and/or programs of a highly complex nature. The IT Project Manager 2 work assignments are varied and frequently require interpretation..
Job Information Humana Lead Unified Communications Engineer Remote (virtual remote home office) in Newport Rhode Island Description The Lead Unified Communications Engineer is responsible for designing and implementing all or..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Newport Rhode Island Description Humana is looking for an experienced Healthcare Investigator to join..
Description Are you skilled at influencing strategy through data analytics, and passionate about leading others? We're looking for a BI/Informatics Lead to head up our CenterWell Specialty Pharmacy Consulting team..
Description Job Description Summary 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..
Description Are you the type of person who is skilled at taking a problem and leveraging data to help solve it? We're looking for a Business Intelligence Analyst to help..
Grant Project Coordinator CCBHC (Full Time) Location: Woonsocket, RI Essential Responsibilities: The CCBHC Project Coordinator will coordinate project services and activities, including data requirements, communication, information dissemination and assistance in..