- Humana (Little Rock, AR)
- …our caring community and help us put health first** Humana/iCare is seeking a Claims Research and Resolution Representative 2 to join our growing team. This position ... is responsible for researching, examining and responding to claims processing issues in a timely manner, including provider...Information** + **Workstyle:** Home. Home workstyle is defined as remote but will use Humana office space on an… more
- Humana (Little Rock, AR)
- …to drive improvements in quality and/or reductions in total cost of care + Scorecard creation and reconciliation of provider performance based on contractual ... Qualifications:** + Bachelor's Degree + 3-5 years of experience in managed care operations, provider reimbursement and analytics, and value-based care +… more
- Marriott (Little Rock, AR)
- …as injured worker advocate assisting them to set goals and participate in their care . + Recommend referral to Associate Resource Line as needed. + Coordinate ... **Additional Information** Nurse CARE Manager ( CARE - Coordinated Action...jurisdiction. This position is responsive to Marriott's associates, Marriott Claims Services, business units, Risk Management and community health… more
- Centene Corporation (Little Rock, AR)
- …or equivalent. Associate 's degree preferred. 2+ years grievance or appeals, claims or related managed care experience. Strong oral, written, and problem ... workplace flexibility. **Position Purpose:** Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal… more
- Humana (Little Rock, AR)
- …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 ... depth of knowledge of administrative processes and organizational knowledge. **This is a remote position from anywhere in the US.** **What Humana Offers** We are… more
- Humana (Little Rock, AR)
- …to business & customers we serve using the latest in software technology? Our claims services team is best positioned in building modernized claims eco systems ... space lacking ongoing interruptions to protect member PHI / HIPAA information \#LI- Remote **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below… more
- Humana (Little Rock, AR)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products...protect member PHI / HIPAA information This is a remote position **Scheduled Weekly Hours** 40 **Pay Range** The… more
- Humana (Little Rock, AR)
- …for complex accounts + Experience analyzing a wide variety of health or claims related data **Additional Information** **Why Humana?** At Humana, we know your ... space lacking ongoing interruptions to protect member PHI / HIPAA information \#LI- Remote **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below… more