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Direct Support Professional Part-Time Gaithersburg MD Location Gaithersburg MD Department Jubilee Association of Maryland Type Part Time Min Experience All experience levels welcome to apply We are looking for amazing..
Direct Support Professional Part-Time Silver Spring MD Location Silver Spring MD Department Jubilee Association of Maryland Type Part-Time Min Experience All experience levels welcome to apply We are looking for..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the..
Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of behavioral health services and/or benefit administration determinations. The Utilization Management..
Job Information Humana Bilingual Spanish RN Care Manager--Compact License Required-WAH Nationwide in Washington District Of Columbia Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and..
Description The Bilingual Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or..
Job Information Humana Social Media Representative 3 - Remote in US in Bethesda Maryland Description The Social Media Representative 3 protects company's brand image by monitoring and addressing social media..
Description . Responsibilities The Process Improvement Lead researches best business practices within and outside the organization to establish benchmark data. This individual collects and analyzes process data to initiate, develop..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor,..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and..
Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability..
Job Information Humana RN Care Manager--Compact License Required-WAH Nationwide in Bethesda Maryland Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and..
Description The Care Management Support Assistant contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal..
Job Information Humana Medical Claims Processing Representative 2 in Bethesda Maryland Description The Medical Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper or..
Description Responsibilities The Payment Integrity Professional 2 contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. This..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement...
Job Information Humana Bilingual Spanish RN Care Manager--Compact License Required-WAH Nationwide in Bethesda Maryland Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members'..
Job Information Humana Manager, Specialty Pharmacy Sales in Bethesda Maryland Description The Manager, Pharmacy Sales - Specialty leverages targeted geographic analysis, engages with Physician offices to influence physicians to route..
Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST states Responsibilities The Bilingual..
Job Information Humana Bilingual Quality Auditor in Bethesda Maryland Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality...
Job Information Humana RN Care Manager--Compact License Required-WAH Nationwide in Washington District Of Columbia Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members'..
Sales Manager American immigration law firm is seeking a sales manager in Mexico City. Law firm focuses on advocating for the rights of Mexican nationals throughout the United States. Sales..
Description Get your foot in the door with this Entry-Level Training Ground Inside Sales Executive position! Enjoy a fast paced dynamic environment that offers a variety of responsibilities and assignments..
Direct Support Professional (Part-Time) Silver Spring, MD Location: Silver Spring, MD Department: Jubilee Association of Maryland Type: Part-Time Min. Experience: All experience levels welcome to apply! We are looking for amazing people..
Job Information Humana Subrogation Professional 2-WAH in US in Washington District Of Columbia Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible..
Description The Behavioral Health Care Coordinator, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward..
Job Information Humana Subrogation Professional 2-WAH in US in Bethesda Maryland Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying..
Job Information Humana Utilization Management Administration Coordinator - Remote in Bethesda Maryland Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities..
Job Information Humana Telephonic Behavioral Health Care Manager in Bethesda Maryland Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve..
Job Information Humana Bilingual Quality Auditor in Baltimore Maryland Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality...
Job Information Humana Medical Claims Processing Representative 2 in Washington District Of Columbia Description The Medical Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via..
Description The Supervisor, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if a grievance, appeal, or further request is..
Job Information Humana Manager, Specialty Pharmacy Sales in Washington District Of Columbia Description The Manager, Pharmacy Sales - Specialty leverages targeted geographic analysis, engages with Physician offices to influence physicians..
Description Humana is continuing to grow nationwide! We have 28 new Bilingual Medicaid Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida Medicaid..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization..
Description The Inbound Contacts Representative represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative performs varied activities and moderately complex administrative/operational/customer support assignments. Performs..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH Nationwide in Bethesda Maryland Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates..
Description The Care Management Support Assistant 2 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain..
Description The Bilingual Grievances & Appeals Representative 3 manages client concerns by conducting and responding to complaints, grievances and appeals in a consistent fashion, adhering to all regulatory, accreditation and..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Bethesda Maryland Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience..
Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or..
Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward resources appropriate for..
Description Responsibilities Humana's Corporate Marketing organization is seeking 2 Bilingual Production Professionals that are fluent in both English and Spanish to join the Humana Translation team supporting Medicaid growth and..
Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and..
Description The Quality (Non-Calls) Professional 2 ensures that products meet certain standards of quality. The Quality (Non-Calls) Professional 2 work assignments are varied and frequently require interpretation and independent determination..
Description The Enrollment Representative 3 processes applications from members, enrolls them on company platforms, and transmits enrollment to Center for Medicare and Medicaid Services. Responsibilities Enrollment Representative 3 Reviews reports..
Description The Subrogation Professional II identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides..
Description The Care Delivery Tele Sales Agent conducts selling activities related to inbound and outbound calls within a care delivery setting. The Care Delivery Tele Sales Agent work assignments are..
We are looking for a skilled Data Scientist with expertise in linguistics and data modeling to join our team. The ideal candidate will have a strong background in statistics, programming,..
Description Humana is continuing to grow especially within Medicaid! We have several new Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida Medicaid..
HSCHC Physical Therapist','230000LH','!*!The Physical Therapist administers physical therapy treatments as ordered by a physician and in accordance with accepted practices of physical therapy. He/she is responsible for evaluating, planning and..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Washington District Of Columbia Description The Associate Director of Clinical Audit, Payment Integrity uses their..
***The location for this position is virtual/remote*** Our Operations function oversees the day-to-day functions of our managed hotel portfolio, ensuring that our guests receive an exceptional hospitality experience and that..
Description The Enrollment Representative 3 processes applications from members, enrolls them on company platforms, and transmits enrollment to Center for Medicare and Medicaid Services. Responsibilities Data entry of member updates/provider..
Professional, Web Content & French CA Translations (Remote) Date: May 31, 2022 Location: Remote, US Company: Under Armour Under Armour has one mission: to make you better. We have a..
Wholesale Product Specialist Bilingual Spanish - ( 230002DB ) Description Why Sherwin-Williams Here, we believe there’s not one path to success, we believe in careers that grow with you. Whoever..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works..
Medical Interpreter - Spanish/English - PRN','230001D9','!*!Under supervision, The Interpreter/Translator will provide language interpretation and translation services to patients and their families in critical, acute,or chronic medical situations as needed. Will..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH Nationwide in Washington District Of Columbia Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses..
Job Information Humana Social Media Representative 3 - Remote in US in Washington District Of Columbia Description The Social Media Representative 3 protects company's brand image by monitoring and addressing..
Description The Grievances & Appeals Representative 4 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances &..
Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Humana, we want to help people..
Description The Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 2 performs varied activities and moderately complex administrative/operational/customer support..
Job Information Humana Bilingual Quality Auditor in Washington District Of Columbia Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards..
Best Buy The Best Buy Advisor engages customers using relationship skills and inspires them to see what's possible with technology. In addition, they build quality relationships with customers and clients,..
Direct Support Professional (Part-Time) Gaithersburg, MD Location: Gaithersburg, MD Department: Jubilee Association of Maryland Type: Part Time Min. Experience: All experience levels welcome to apply! We are looking for amazing people to..
Job Information Humana Bilingual / Call Center / Customer Service Rep / Remote / Work from Home / Texas / Virginia / Maryland / North Carolina / South Carolina /..
What We’re Looking For: We are hiring a highly motivated bilingual admissions advisor who can credibly speak as a representative of large public universities. Recruiting students for our programs requires..
Job Information Humana Telephonic Behavioral Health Care Manager in Washington District Of Columbia Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements..
