| Resume alert | Resumes 61 - 70 of 196 |
Chief Medical Officer, population health, value-based care
Louisville, KY
... experience in health insurance corporate strategy, value-based care contracting and provider engagement, network development, Medicare bid strategy, healthcare policy and governance, clinical programs development, and marketing • 3 years executive ... - 2022 Jul 09
... experience in health insurance corporate strategy, value-based care contracting and provider engagement, network development, Medicare bid strategy, healthcare policy and governance, clinical programs development, and marketing • 3 years executive ... - 2022 Jul 09
Enrollment Specialist Tarot
Louisville, KY
... Enrollment specialist Humana 09/2019 - 12/2019 09/2019 to 12/2019 Enrollment Representative Humana Louisville, KY Proficient with Humana systems and application such as, GCP (guidance care portal), Spidar, PAAG (Provider At a Glance), Medicare ... - 2022 May 24
... Enrollment specialist Humana 09/2019 - 12/2019 09/2019 to 12/2019 Enrollment Representative Humana Louisville, KY Proficient with Humana systems and application such as, GCP (guidance care portal), Spidar, PAAG (Provider At a Glance), Medicare ... - 2022 May 24
Legal Secretary Contract Specialist
Jeffersonville, IN
... September 2007- Essence Healthcare, Inside Sales Representative November 2007 Responsible for contacting potential client regarding Medicare health benefits. Also responsible for recruiting potential client to attend Medicare seminars. Contact leads ... - 2022 May 23
... September 2007- Essence Healthcare, Inside Sales Representative November 2007 Responsible for contacting potential client regarding Medicare health benefits. Also responsible for recruiting potential client to attend Medicare seminars. Contact leads ... - 2022 May 23
Health Information Privacy Officer
Louisville, KY
... You have the right to be informed before or at the time of admission and periodically during your stay of services available in the facility and of charges for those services including any charges for services not covered under the Medicare program ... - 2021 Oct 20
... You have the right to be informed before or at the time of admission and periodically during your stay of services available in the facility and of charges for those services including any charges for services not covered under the Medicare program ... - 2021 Oct 20
Assurance Coordinator Operations Representative
Louisville, KY
... Humana Health Insurance Company August 2019 – Present Consumer Service Operations Representative 3 On-Demand Team Individual Medicare Enrollment processing, inbound and outbound member support, MARX verification Individual Medicare Benefits member ... - 2021 Oct 11
... Humana Health Insurance Company August 2019 – Present Consumer Service Operations Representative 3 On-Demand Team Individual Medicare Enrollment processing, inbound and outbound member support, MARX verification Individual Medicare Benefits member ... - 2021 Oct 11
Business Analyst Administrative Specialist
Louisville, KY
... Assist in performing compliance reviews of the fair claims processing policies/practices of recipients of federal monies, i.e., Medicare Recipients, Assisted Living Seniors, and other third subsidized plan programs. Assist in assessing program ... - 2021 Jun 07
... Assist in performing compliance reviews of the fair claims processing policies/practices of recipients of federal monies, i.e., Medicare Recipients, Assisted Living Seniors, and other third subsidized plan programs. Assist in assessing program ... - 2021 Jun 07
Bilingual HR Generalist
Louisville, KY
... Louisville, Kentucky Medicare Claims Adjuster (Bi-lingual) 08-2005 to 12-2010 • Reviewed Medicare claims for adjudication from Healthcare providers • Reprocessed Medicare denial claims, and appeal claims that were submitted with incorrect coding • ... - 2021 May 03
... Louisville, Kentucky Medicare Claims Adjuster (Bi-lingual) 08-2005 to 12-2010 • Reviewed Medicare claims for adjudication from Healthcare providers • Reprocessed Medicare denial claims, and appeal claims that were submitted with incorrect coding • ... - 2021 May 03
Data Manager
Louisville, KY
... Humana seeks to improve their current method of creating and submitting Electronic Data Interchange (EDI), “Encounter” data required for Medicare and Medicaid by different trading partners like CMS, Florida etc. The proposed architecture is an n ... - 2021 Mar 25
... Humana seeks to improve their current method of creating and submitting Electronic Data Interchange (EDI), “Encounter” data required for Medicare and Medicaid by different trading partners like CMS, Florida etc. The proposed architecture is an n ... - 2021 Mar 25
Dotnet mvc, Dotnet Core, SQL, Angular, Jquery, Bootstrap, HTML
Louisville, KY
... The Retail segment consists of Medicare benefits, including dental, vision, and other supplemental health and financial protection products. Humana deals with customers and Humana associates with multiple solutions. User Feedback is most enhanced ... - 2021 Feb 26
... The Retail segment consists of Medicare benefits, including dental, vision, and other supplemental health and financial protection products. Humana deals with customers and Humana associates with multiple solutions. User Feedback is most enhanced ... - 2021 Feb 26
Physician Assistant Medical
Louisville, KY
... Plymouth, Michigan Retrospective review of the medical necessity of admissions and quality of care provided to Medicare beneficiaries and review for validation of DRG assignment. Pre-admission review of the medical necessity and appropriateness of ... - 2021 Jan 16
... Plymouth, Michigan Retrospective review of the medical necessity of admissions and quality of care provided to Medicare beneficiaries and review for validation of DRG assignment. Pre-admission review of the medical necessity and appropriateness of ... - 2021 Jan 16