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Payment Integrity Professional 2 - Work at home (JC169118898)
Last Updated: 2020-09-30
Employer: Humana
Location: Portland, ME

Description

The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our financial recovery. The Payment Integrity Professional 2 work assignments are varied and frequently require interpretation and independent determination of…

Value Based Programs Lead - Work at Home (JC169030695)
Last Updated: 2020-09-30
Employer: Humana
Location: Portland, ME

Description

The Value-Based Programs Lead supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Value-Based Programs Lead provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience.How We Value You -Benefits starting day 1 of employmentCompetitive…

Supervisor, Risk Adjustment - Work at Home New York, Maine a (JC169118320)
Last Updated: 2020-09-30
Employer: Humana
Location: Portland, ME

Description

The Supervisor, Risk Adjustment works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve basic problems; collaborates with management and top professionals/specialists in selection of methods, techniques, and analytical approach.How We Value You Benefits starting day 1 of employmentCompetitive 401k matchGenerous Paid…

Senior Policy Governance Professional - Care Delivery Organi (JC169211523)
Last Updated: 2020-09-30
Employer: Humana
Location: Portland, ME

Description

The Senior Policy Governance Professional policy Governance is the combination of Compliance processes established and executed that are reflected in the organization’s structure and how it is managed and led toward achieving goals. The Senior Policy Governance Professional work assignments involve moderately complex to complex issues where the analysis…

Provider Engagement Professional 1 (Dental) - WAH (JC169337451)
Last Updated: 2020-09-30
Employer: Humana
Location: Portland, ME

Description

The Provider Engagement Professional 1 develops and grows positive, long-term relationships with dental providers in order to support and improve financial and quality performance within the contracted working relationship. The Provider Engagement Professional 1 work assignments are often straightforward and of moderate complexity.

Responsibilities

The Provider Engagement Professional 1…

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  • Registered Apprenticeship