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Associate Actuary, SPA-Rx

Humana
Columbus, OH
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**Become a part of our caring community and help us put health first**The ...
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About the job:
Associate Actuary, 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, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Actuaries
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Associate of the Society of Actuaries
Member of the American Academy of Actuaries
Actuarial Exams
Workkeys
Applied Math
7
Graphic Literacy
6
Workplace Documents
7
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Detailed Job Information

Financial Planning & Analysis Lead

Humana
Columbus, OH
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**Become a part of our caring community and help us put health first**The ...
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About the job:
Financial Planning & Analysis Lead will work as part of the IT Operations team within IT Finance under the Corporate Finance Organization. The IT Operations team is focused on supporting and providing financial transparency to IT leaders within the segment facing IT teams, other segment Business Leaders, Finance leaders and other key stakeholders. This role will need to understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas. This role will analyze...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Financial and Investment Analysts
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
Certified Public Accountant
Workkeys
Applied Math
5
Graphic Literacy
4
Workplace Documents
5
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Detailed Job Information

Code Edit Disputes Supervisor

Humana
Columbus, OH
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**Become a part of our caring community and help us put health first**Code ...
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Edit Disputes reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Supervisor, Medical Coding 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.**Where you Come In**The Supervisor, Medical Coding oversees...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
Postsecondary nondegree award
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
American Health Information Management Association
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
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Detailed Job Information

Lead Solutions Architect - DEX IT Support Services

Humana
Columbus, OH
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**Become a part of our caring community and help us put health first**The ...
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About the job:
Lead Solutions Architect is a highly technical and strategic role with subject matter expertise in Digital Employee Experience (DEX) tooling/concepts, and IT Support Services domains, and strong knowledge and understanding of adjacent technology domains like network, identity and access management, and security.The Lead Solutions Architect designs and develops IT solutions to business problems in alignment with Enterprise Architecture direction and approved technology standards and reference architectures. The Lead...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Engineers/Architects
Career Level / Education:
Associate's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Lead Solutions Architect - EUC

Humana
Columbus, OH
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**Become a part of our caring community and help us put health first**The ...
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About the job:
Lead Solutions Architect is a highly technical and strategic role with subject matter expertise in Digital Workplace (DW) and End-User Compute (EUC) technology domains, and strong knowledge and understanding of adjacent technology domains like network, identity and access management, and security.The Lead Solutions Architect designs and develops IT solutions to business problems in alignment with Enterprise Architecture direction and approved technology standards and reference architectures. The Lead Solution Architect...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Engineers/Architects
Career Level / Education:
Associate's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Medical / Financial Risk Evaluation Analyst

Humana
Columbus, OH
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**Become a part of our caring community and help us put health first**The ...
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About the job:
Medical/Financial Risk Evaluation Professional 2 /Analyst is responsible for supporting the development, implementation and monitoring of medical/financial risk.The Medical/Financial Risk Evaluation Professional / Analyst+ Identifies, assesses, and mitigates any medical or financial risk that arises from inadequate or failed processes, people, systems, or external events.+ Maintains a balance between risk mitigation and efficiency+ Develop reporting to identify patterns and trends+ May create specifications for reports...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
7
Graphic Literacy
6
Workplace Documents
7
apply
Detailed Job Information

Senior Provider Contracting Professional

Humana
Columbus, OH
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**Become a part of our caring community and help us put health first**The ...
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Summary
About the job:
Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for Humana's Behavioral Health organization. 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 providers....
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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Detailed Job Information

Business Intelligence Engineer 2

Humana
Columbus, OH
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**Become a part of our caring community and help us put health first**The ...
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About the job:
Business Intelligence Engineer 2 solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Engineer 2 work assignments will impact both Medicare and Medicaid and are varied and frequently require interpretation and independent determination of the appropriate courses of action.The Business Intelligence Engineer 2 describes the tools, technologies, applications and practices used to collect, integrate, analyze, and present an...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Sales Engineers
Career Level / Education:
Associate's degree
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
5
Workplace Documents
5
apply
Detailed Job Information

Senior Research Scientist

Humana
Columbus, OH
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**Become a part of our caring community and help us put health first**The ...
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Summary
About the job:
Senior Research Scientist participates in research study design, analysis and interpretation of results, with special emphasis on statistical and analytical plan development; data acquisition, preparation, and management; statistical analysis and interpretation of findings. The Senior Research Scientist work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.Through the design and implementation of various types of...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Medical Scientists, Except Epidemiologists
Career Level / Education:
Master's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
7
Graphic Literacy
6
Workplace Documents
7
apply
Detailed Job Information

Code Edit Disputes Team Medical Coding Coordinator

Humana
Columbus, OH
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**Become a part of our caring community and help us put health first**Code ...
Details
Summary
About the job:
Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.**Where you Come In**The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
ICD-10 / ICD-9
American Health Information Management Association
Certified Coding Specialist
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information
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