As an Insurance Advisor , you will make a positive difference by helping people become financially secure, achieve their dreams and goals in life. Acquire individual and corporate clients Identify..

Description The Claims Review Representative 3 makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. The Claims Review Representative 3 performs..

Job Information Humana Claims Review Representative - Remote Puerto Rico - *Sign On Bonus* in San Juan Puerto Rico Description This will be a great opportunity to showcase your ability..

Job Information Humana Medicare Sales Field Agent in San Juan Puerto Rico Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting..

Job Information Humana Medicare Sales Field Agent in Caguas Puerto Rico Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the..

Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific..

Description The Claims Processing Representative reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Claims Processing Representative performs varied activities and moderately complex administrative/operational/customer support..

Description The Medical Coding Coordinator 2 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The..

Description The DMS Sales Agent conducts selling activities related to inbound calls inquiring about individual health plan products. The DMS Sales Agent work assignments are varied and frequently require interpretation..

Description Humana is looking to add new associate to the PrePay Audit team in San Juan, PR. This Claims Review Representative 3 opportunity is 100% work-at-home position for the San..

Job Information Humana Claims Review Representative 3 - Remote PR only in San Juan Puerto Rico Description The Claims Review Representative 3 makes appropriate claim decision based on strong knowledge..

Job Information Humana Medical Claims Processing Representative 2 in San Juan Puerto Rico Description The Medical Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via..

Job Information Humana Senior Market Development Professional in San Juan Puerto Rico Description The Senior Behavioral Health Market Development Professional provides support to assigned health plan and/or specialty companies relative..

Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the..

Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that..

Description The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses,..

Description The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses,..

Job Information Humana Grievances & Appeals Representative 3 (Bilingual, Inbound call center in the Health Care industry, Medicare, Medical Claims, CAS, exp.) - San Juan, PR in San Juan Puerto..

Job Information Humana Specialty Pharmacy RX Enrollment Manager in San Juan Puerto Rico Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment..

Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems..

Job Information Humana Pharmacy Claims Specialist, Remote in San Juan Puerto Rico Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims..

Description The Actuarial Analyst 2, Pricing is responsible for developing pricing assumptions for Humana's Medicare dental and vision products. Supports implementation of rates, new plans and benefit changes. Provides guidance..

Job Information Humana SkillBridge Intern - Medicare Sales Field Agent in San Juan Puerto Rico Description Are you transitioning from the Military and looking for a DOD SkillBridge Internship opportunity?..