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Shawn Lucas is listed as Project Management | Data Analysis | HEDIS | Claims | Generative AI Consulting at Humana, a company with 36660 employees, based in Smethport, Pennsylvania, United States. AeroLeads shows a work email signal at humana.com and a matched LinkedIn profile for Shawn Lucas.
Shawn Lucas previously worked as Payment Integrity Professional at Humana and Claims Research & Resolution Professional at Humana. Shawn Lucas holds Bachelor Of Arts (B.A.), Psychology from University At Buffalo.
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I have worked for Humana for some 8 years now and am currently working in the Code Edit Vendor Management Team as a Payment integrity Professional. Previous to that I worked in Special Projects as well as Medicare Risk Adjustment as a Risk Adjustment Administration Representative in Humana's Northeast Region. In MRA I led a team of 6 in our downstate sub-region and became skilled in MRA, HEDIS, quality health measures, data reporting, and analysis. I have extensive experience in onboarding, and technical training in EMRs, Microsoft, etc. I would later go on to develop our database training materials and received 3 promotions in my time as well as a STAR award for efforts in cost management, production, and provider relations.
Listed skills include Customer Service, Microsoft Excel, Microsoft Word, Powerpoint, and 17 others.
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Remote
A Payment Integrity Professional will ensure the accuracy and compliance of healthcare claims. The analysis is performed for medical claims for correct coding, detecting discrepancies, preventing overpayments, and mitigating potential fraud. Payment Integrity Professionals will collaborate with healthcare providers to resolve coding issues, conduct audits.
Louisville, Kentucky, United States
The Claims Research & Resolution Professional 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for and against the organization. The Claims Research & Resolution Professional 2 work assignments are varied and frequently require.
Remote
Medicare RIsk Adjustment as an industry seeks to predict a person's likely use and costs of healthcare across TiNs. It attempts to apply a statistical method to enable a more accurate comparison of healthcare. As a department it is up to MRA representatives both research and analyze data to collect and upload specific charts ensuring that proper analysis.
Jamestown, New York Area
NHTD & TBI Medicaid Services Coordinator. Responsible for responding to inquiries about home and community services from individuals with disabilities, their families, medical/health professionals and the general public. The Service Coordinator assists individuals who receive waiver services in gaining access to needed supports and state plan services, as.
Other employees you can reach at humana.com. View company contacts for 36660 employees →
Jodi S.
Colleague at HumanaUnited States, United States
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Cassie Downard
Colleague at HumanaGreater Sioux Falls Area, United States
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Jeanne Rivera
Colleague at HumanaLutz, Florida, United States, United States
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Justo Ferrer
Colleague at HumanaRío Grande, Puerto Rico, Puerto Rico
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Brittany Daniel
Colleague at HumanaGreater New Orleans Region, United States
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Sa'Rah Willham
Colleague at HumanaCharlestown, Indiana, United States, United States
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Timothy Mccoskey
Colleague at HumanaClarksville, Indiana, United States, United States
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Samuel Rose Jr
Colleague at HumanaLouisville, Kentucky, United States, United States
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Kumar A.S
Colleague at HumanaIrvine, California, United States, United States
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Erin Garrison
Colleague at HumanaLouisville, Kentucky, United States, United States
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Activities and Societies: Elected to Student AssemblyStudy in Psychology with an additional Concentration in Asian Studies.
Activities and Societies: Elected to Student Government. Vice-Chair of Facility Student Association. SUNY Model of the European Community.
Quick answers generated from the profile data available on this page.
Shawn Lucas works for Humana.
Shawn Lucas is listed as Project Management | Data Analysis | HEDIS | Claims | Generative AI Consulting at Humana.
AeroLeads has found 1 work email signal at @humana.com for Shawn Lucas at Humana.
Shawn Lucas is based in Smethport, Pennsylvania, United States while working with Humana.
Shawn Lucas has worked for Humana and Aftercare Nursing Services.
Shawn Lucas's colleagues at Humana include Jodi S., Cassie Downard, Jeanne Rivera, Justo Ferrer, and Brittany Daniel.
You can use AeroLeads to view verified contact signals for Shawn Lucas at Humana, including work email, phone, and LinkedIn data when available.
Shawn Lucas holds Bachelor Of Arts (B.A.), Psychology from University At Buffalo.
Shawn Lucas is listed with skills including Customer Service, Microsoft Excel, Microsoft Word, Powerpoint, Healthcare, Case Management, Public Speaking, and Nonprofits.
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