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Alternate Locations Dallas TX Texas Greensboro NC North Carolina Hartford CT Connecticut Radnor PA Pennsylvania US All Regions Work from Home Work Arrangement Work from Home Relocation assistance is not..
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 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...
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 Senior Risk Management Professional - PCO Compliance and Risk Management in Louisville Kentucky Description The Primary Care Organization (PCO), is looking for high potential candidates who are..
Alternate Locations: Dallas, TX (Texas); Greensboro, NC (North Carolina); Hartford, CT (Connecticut); Radnor, PA (Pennsylvania); US All Regions; Work from Home Work Arrangement: Work from Home Relocation assistance: : is..
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..
(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) We are looking for English/Spanish Bilingual speakers for this..
Description Humana is continuing to grow nationwide! We have several new Bilingual Inbound Contact Representatives openings that will have the pleasure of taking inbound calls from our Medicaid Members and..
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 Utilization Management Registered Nurse in Louisville Kentucky Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services..
Job Information Centerwell Medical Assistant - South Second Street Clinic in Louisville Kentucky Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life..
Production Supervisor - Mayfield, KYThis position is responsible for assuring all procedures are followed in achieving the highest level or productivity in the most cost efficient manner possible while still..
Job Information Humana Grievances and Appeals Representative 3 - KY, WI or PR in Louisville Kentucky Description Do you enjoy helping those in need? Do you love researching, analyzing medical..
BASIC RESPONSIBILITIES:Assist in the handling of the accident and illness program. Conduct hazard and risk analyses. Ensure that all occupational safety and health tasks are completed as scheduled and required.Assist..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. The Utilization Management Behavioral Health Professional..
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..
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 Consumer Service Operations Representative 2 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Representative 2 performs varied activities and moderately complex..
Job Information Humana Medical Claims Processing Representative 2 in Louisville Kentucky Description The Medical Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper or..
KY62GpukqZ-332114-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 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 The Supervisor, Care Management Support 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 Centerwell Medical Front Office Specialist - Outer Loop Clinic in Louisville Kentucky Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal..