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Job Information Humana Supervisor, Grievances & Appeals - Remote, EST or CST in Jersey City New Jersey Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a..
Job Information Humana Quality (non-calls) Professional 2/ Quality Audit/G&A (FULLY BILINGUAL English/Spanish) Remote, anywhere with Easter Time Zone in Jersey City New Jersey Description The Quality (Non-Calls) Professional 2 ensures..
Job Information Humana Subrogation Professional 2-WAH in US in Jersey City New Jersey Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible..
Job Information Humana RN Care Manager--Compact License Required-WAH Nationwide in Jersey City New Jersey Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members'..
Job Information Humana Bilingual Quality Auditor in Jersey City New Jersey Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards..
Job Information Humana Grievances & Appeals Representative 4 (FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Jersey City New Jersey Description The Grievances & Appeals Representative 4 manages..
Job Information Humana Oncology Market Director in Jersey City New Jersey Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients'..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Jersey City New Jersey Description The Quality (Non-Calls) Professional 2..
Job Information Humana Utilization Management Administration Coordinator - Remote in Jersey City New Jersey Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs..
Job Information Humana Bilingual Spanish RN Care Manager--Compact License Required-WAH Nationwide in Jersey City New Jersey Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and..
Job Information Humana Manager, Utilization Management RN - Remote in Jersey City New Jersey Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and..
Job Information Humana Subrogation Professional 2 Remote/WAH in USA in Jersey City New Jersey Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Jersey City New Jersey Description The Quality (Non-Calls) Professional 2 ensures that products..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Jersey City New Jersey Description The Associate Director of Clinical Audit, Payment Integrity uses their..
Job Information Humana Manager, Specialty Pharmacy Sales in Jersey City New Jersey Description The Manager, Pharmacy Sales - Specialty leverages targeted geographic analysis, engages with Physician offices to influence physicians..
Job Information Humana Medical Claims Processing Representative 2 in Jersey City New Jersey Description The Medical Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via..
Job Information Humana Social Media Representative 3 - Remote in US in Jersey City New Jersey Description The Social Media Representative 3 protects company's brand image by monitoring and addressing..
Job Information Humana Bilingual / Call Center / Customer Service Rep / Remote / Work from Home in Jersey City New Jersey Description Healthcare isn't just about health anymore. It's..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual strongly preferred-WAH Nationwide in Jersey City New Jersey Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH Nationwide in Jersey City New Jersey Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses..
Job Information Humana Senior Clinic Emerging Markets Trainer, Merger & Acquisition - Remote in Jersey City New Jersey Description The Senior Clinic Emerging Markets Trainer creates and implements processes and..
Job Information Humana Telephonic Behavioral Health Care Manager in Jersey City New Jersey Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements..
Job Information Humana Utilization Management Registered Nurse - Remote in Jersey City New Jersey Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication..