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Senior Insurance Product Compliance Professional

Humana
Columbus, OH
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**Become a part of our caring community**The Senior Insurance Product ...
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Summary
About the job:
Compliance Professional serves as a subject matter expert and primary resource for ensuring Humana's Member Marketing and Communication materials follow all federal and state regulatory requirements. You will oversee compliance activities for insurance products and focus on the comprehensive approval and filing of marketing and communication materials. You will mentor compliance associates, implement process improvement plans and engage directly with regulators and internal leadership to guide compliance excellence.+...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Regulatory Affairs Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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VSP Clinical Recruiter

Humana
Columbus, OH
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**Become a part of our caring community**The clinical recruiter is ...
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About the job:
responsible for managing full-cycle recruitment and the end-to-end candidate lifecycle for both hourly and salaried clinical positions. This role partners closely with hiring managers to source, attract, and hire qualified talent while ensuring a positive and seamless candidate experience. The recruiter handles a variety of assignments that require strong judgment, adaptability, and the ability to independently determine appropriate courses of action in a fast-paced environment.This role is part of the Variable Staffing Pool(...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Human Resources Specialists
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Cloud Full Stack Engineer

Humana
Columbus, OH
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**Become a part of our caring community**The Senior Full Stack Engineer ...
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About the job:
performs software engineering activities in all layers of the stack, from setting up the database to programming in the backend and the appearance at the front-end.The Senior Full Stack Engineer is involved in all stages of software development, including front-end development, back-end development, database integrations, network and hosting management, user interface, user experience, and back-end server management. Advises executives to develop functional strategies (often segment specific) on matters of...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Software Developers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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Detailed Job Information

Senior Product Manager

Humana
Columbus, OH
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**Become a part of our caring community**The Senior Product Manager ...
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About the job:
Conceives of, develops products for customer use. The Senior Product Manager work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.Senior Product Manager is a senior individual contributor who orchestrates complex, cross-platform technology projects that grow enterprise strategy and operational reliability. As a Senior Product Manager, you will plan and manage the enhancement and integration of the business products with a...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Computer and Information Systems Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
Certified Purchasing Manager
Certified Project Manager
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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Detailed Job Information

Encounter Data Management Professional

Humana
Columbus, OH
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**Become a part of our caring community**The Encounter Data Management ...
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About the job:
Professional ensures data integrity for claims errors. The Encounter Data Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.The Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare. Ensure encounter submissions exceed all compliance standards via and develop tools to enhance the encounter acceptance rate by...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Clinical Data Managers
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Grievances & Appeals Rep - Medicaid Intake

Humana
Columbus, OH
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**Become a part of our caring community**You will report to the Grievances & ...
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About the job:
Appeals Supervisor and be part of the Resolution Team. The Grievances & Appeals Representative 2 triages Medicaid and AIP (dual) cases and reviews clinical documentation to determine if a grievance or appeal is warranted. This is an extremely high-volume, fast-paced role, with the responsibility of moving several cases per hour. We ask that you have proactive queue management, attention to changing processes, experience handling support requests across multiple workstreams, and effective communication with managers...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Insurance Strategy Consultant

Humana
Columbus, OH
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**Become a part of our caring community**Humana, a Fortune 50 Healthcare ...
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Summary
About the job:
CompanyHumana is a publicly traded, Fortune 50 healthcare company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home company in the 60's, to the largest US hospital corporation in the 80's, to a leading health benefits company beginning in the 90's. Today, Humana is a leader in consumer-focused health solutions and is one of the largest health benefits organizations in the country.The Insurance Strategy team supports Humana's Insurance business unit....
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Provider Contracting Professional - Behavioral Health

Humana
Columbus, OH
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**Become a part of our caring community**The Senior Provider Contracting ...
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Summary
About the job:
Professional initiates, negotiates, and executes behavioral health practitioner, hospital, and/or other provider contracts and agreements for Indiana Medicaid and Medicare. 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 variable factors.The Senior Provider Contracting Professional communicates contract terms, payment structures, and reimbursement rates to Behavioral Health providers in...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Group Medicare Sales Support Professional

Humana
Columbus, OH
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**Become a part of our caring community**The Sales Support Professional 2 ...
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Summary
About the job:
provides sales administrative support to assist with the acquisition or retention of customers. The Sales Support Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.The **Sales Support Professional 2** partners closely with assigned Sales Executives to support sales strategy, execution, and relationship management. You will work hand‑in‑hand with sales teams and external agents to prepare sales materials, proposals,...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Insurance Sales Agents
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Lead Data Management

Humana
Columbus, OH
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**Become a part of our caring community**The Encounter Data Management Lead ...
Details
Summary
About the job:
defines and implements best practices to collect, integrate, analyze, and transform raw data into actionable business intelligence. In this position, you will ensure that all encounter submissions exceed compliance standards through advanced data analysis, rigorous quality assurance, and the development of tools to optimize encounter acceptance rates. The Lead Business Intelligence Engineer identifies opportunities to produce applicable insights and enhance submission processes. This role collaborates with partners to...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Data Scientists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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