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1 - 10 of 52 matches in 0.028 seconds
Senior Provider Contracting Professional (JC170426970)
Last Updated: 2020-10-20
Employer: Humana
Location: Portland, ME

Description

The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of…

Humana Military Call Center Rep - REMOTE (JC170228720)
Last Updated: 2020-10-20
Employer: Humana
Location: Portland, ME

Description

If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional experiences to our members as a Work from Home Customer Service Representative.

Responsibilities

What you will do:

+ Deliver…

UM Administration Coordinator 2 (Work at Home) (JC170046757)
Last Updated: 2020-10-20
Employer: Humana
Location: Portland, ME

Description

The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

Responsibilities

The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and…

Grievance and Appeals Representative 3 (JC170629513)
Last Updated: 2020-10-20
Employer: Humana
Location: Portland, ME

Description

The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request is warranted and then delivers final determination based on trained skillsets and/or partnerships with clinical and other Humana parties…

Cloud Infrastructure Performance Manager (JC169030184)
Last Updated: 2020-10-20
Employer: Humana
Location: Portland, ME

Description

The Cloud Infrastructure Performance Manager is responsible for managing and tracking all performance metrics associated with the cloud infrastructure portfolio of products. Identify metrics, implement process to collect data points trend, and provide recommendations on opportunities for improvement..

Responsibilities

+ Develop and maintain a portfolio cloud infrastructure performance metrics…

Clinical Technology Leadership Professional (JC169030348)
Last Updated: 2020-10-20
Employer: Humana
Location: Portland, ME

Description

The Clinical Technology Leadership Professional is responsible for all aspects of software product delivery and performance. The Clinical Technology Leadership Professional delivers new technological solutions to meet business needs within a specified scope while aligned to enterprise objectives. The Clinical Technology Leadership Professional work assignments are varied and frequently…

Lead Product Manager - Specialty (Dental, Vision & Life) (JC169672598)
Last Updated: 2020-10-20
Employer: Humana
Location: Portland, ME

Description

The Lead Product Manager – Specialty develops, delivers, and manages dental, vision, and life portfolio for the Employer Group business.

Responsibilities

The Lead Product Manager, Specialty – Dental, Vision and Life responsibilities can include:

+ Lead all phases of the product life cycle, from inception to introduction into the…

Value-Based Strategies -- CMS Programs Analytics and Reporti (JC169672668)
Last Updated: 2020-10-20
Employer: Humana
Location: Portland, ME

Description

Value-Based Strategies – CMS Programs Analytics and Reporting Lead will support Humana through successful participation in CMS/CMMI Multi-Payor and Accountable Care Initiatives.

Responsibilities

Value-Based Strategies – CMS Programs Analytics and Reporting Lead will support Humana through successful participation in CMS/CMMI Multi-Payor and Accountable Care Initiatives.

Quality Engineering Technician 3 (JC169410116)
Last Updated: 2020-10-20
Employer: Humana
Location: Portland, ME

Description

The Quality Engineering Technician 3 carries out procedures to ensure that all information systems products and services meet organization standards and end-user requirements. The Quality Engineering Technician 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.

Responsibilities

The Quality Engineering Technician…

Senior Cyber Data Protection Engineer (JC169775728)
Last Updated: 2020-10-20
Employer: Humana
Location: Portland, ME

Description

We are looking for a Senior Data Protection Engineer who will be responsible for providing support of defined security and compliance requirements, adoption of security best practices for public cloud(s), and implementation of Data Protection methods. As a Senior Data Protection Engineer, you will help in designing and engineering…

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