- Humana (Richmond, VA)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... + Bachelor's degree + Previous experience in prior authorization, claims , and/or utilization management in healthcare, health insurance, evaluating medical… more
- Humana (Richmond, VA)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- Humana (Richmond, VA)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... processes + Solid understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations;… more
- Humana (Richmond, VA)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... either the state agency or payer perspective + Detailed understanding of healthcare claims Travel: While this is a remote position, occasional travel to Humana's… more
- Humana (Richmond, VA)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... on beneficiary needs; assists with beneficiary related issues which may include claims inquiries, enrollment issues, travel attestations, access to care, wait lists,… more
- Humana (Richmond, VA)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of… more
- Humana (Richmond, VA)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must… more
- Humana (Richmond, VA)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... meet all deadlines + Remote access record retrieval via electronic systems + Research claims and provider information for accurate retrieval + Travel up to 20% of… more
- Mass Markets (VA)
- …Savings:Secure your future with retirement savings programs, where available. + Disability Insurance:Short- term disability coverage is available to ... 12-18+ months ahead of RFP releases while also supporting short- term capture opportunities as needed. + Provide insights and...largely sedentary and will be required to sit/stand for long periods while using a computer and telephone headset.… more
- Humana (Richmond, VA)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems of… more