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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..
Job Information Humana Bilingual Quality Auditor in Portland Maine Description The Bilingual Quality Auditor Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality..
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..
Job Information Humana Utilization Management Administration Coordinator - Remote in Portland Maine Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities..
Job Information Humana Social Media Representative 3 - Remote in US in Portland Maine Description The Social Media Representative 3 protects company's brand image by monitoring and addressing social media..
About this job Find your commute We invite you to be part of our team of trailblazers dedicated to helping people discover and enjoy the outside. Come join us. Because..
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,..
Job Information Humana Bilingual Quality Auditor in Portland Maine Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality...
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 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 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 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 . 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 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 Manager, Utilization Management RN - Remote in Portland Maine Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of..
Job Information Humana Subrogation Professional 2-WAH in US in Portland Maine Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying..
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..
Job Information Humana Telephonic Behavioral Health Care Manager in Portland Maine Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve..
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..
Lecturer in Linguistics (Teaching & Research) Bangor University - School of Arts, Culture & Language, Department of Linguistics, English Language and Bilingualism Location: Bangor Salary: £36,333 to £43,155 Grade 7..
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..
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 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..