
This remote Payment Integrity Professional 2 role within Humana's healthcare division focuses on leveraging claims data and analytic tools to ensure accurate payment outcomes. Key responsibilities include analyzing medical claims to identify trends and anomalies, conducting root-cause analysis on incorrect payments, and developing mitigation strategies to reduce costs. The position also involves collaborating with internal stakeholders and external vendors to manage code edit functions and drive process optimization. The opportunity is appealing due to the company's commitment to associate well-being, offering a Fortune 100 work environment with strong professional development resources, comprehensive benefits, and a flexible remote work arrangement that includes occasional travel for training.



















