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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 Grievances and..
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 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..
Job Information Humana Social Media Representative 3 - Remote in US in Bridgeport Connecticut Description The Social Media Representative 3 protects company's brand image by monitoring and addressing social media..
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..
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 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..
CTQ4cYyKEH-338417-en_US Logistics at full potential. At GXO, we're constantly looking for talented individuals at all levels who can deliver the caliber of service our company requires. You know that a..
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..
Alternate Locations: Atlanta, GA (Georgia); Austin, TX (Texas); Bakersfield, CA (California); Baltimore, MD (Maryland); Baton Rouge, LA (Louisiana); Birmingham, AL (Alabama); Boise, ID (Idaho); Boston, MA (Massachusetts); Buffalo, NY (New..
About this job Find your commute Job Description: Join our team of Customer Relationship Advocates (CRA) for a variety-filled experience where you’ll have dedicated time to focus on growth, career..
Job Information Humana Telephonic Behavioral Health Care Manager in Bridgeport Connecticut Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve..
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..
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..
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..
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 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 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..
Seeking a Family Practice or Internal Medicine Physician to treat a primarily Spanish speaking patient base in Eastern Connecticut. Open to BC/BE M.D. or D.O. candidates. Practice schedule is Monday-Friday,..
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..
Job Location Bridgeport AIC (CT) - Bridgeport, CT Position Type Full Time Education Level Bachelors Degree Travel Percentage License Required Job Shift Various Shift Hours Job Description Community Solutions Inc..
About this job Find your commute CSI Pharmacy is hiring for an Infusion Registered Nurse, RN to join our dynamic team. CSI Pharmacy is a nationwide specialty pharmacy, founded by..
A well-established Pediatric practice in western Connecticut is adding a Pediatrician.Opportunity30-year established independent practiceStaff includes 4 Pediatricians, a Nurse Practitioner, and support staffNewer modern officeMonday through Friday office hoursSpanish fluency..
Job Information Humana Utilization Management Administration Coordinator - Remote in Bridgeport Connecticut Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities..
Job Information Humana Bilingual Quality Auditor in Bridgeport Connecticut Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality...
