Bilingual Jobs in Pennsylvania

Job Information Humana Medicare Sales Field Agent (Bilingual) in Philadelphia Pennsylvania Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the..

Job Information Humana Medical Claims Processing Representative 2 in Pittsburgh Pennsylvania Description The Medical Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper or..

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..

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..

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..

Bilingual Staff Psychiatrist, Philadelphia, PArnrnJob OverviewrnOne of the most trusted and established Behavioral HealthMedical Groups in Philadelphia is seeking Psychiatrists to join their clinical team due to growth. As part..

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 Medicare Sales Field Agent (Bilingual-Spanish) in Wilkes Barre Pennsylvania Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting..

Description Are you someone who is passionate about helping Sales Agents learn through facilitation and development? Then we have a job for you! Humana is in search for our next..

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..

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 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 Pittsburgh Pennsylvania Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality...

Are you a BCaBA, a Licensed Behavior Specialist seeking to complete your fieldwork and finally reach the end goal of being a Board Certified Behavior Analyst? At Access Services, you..

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 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..

Job Information Humana Telephonic Behavioral Health Care Manager in Pittsburgh Pennsylvania Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve..

Harrisburg, PA, USA Hourly Full Time Health/Dental/Vision, Company Matched Retirement, Employer Paid Life Insurance, Voluntary Life Insurance, Supplemental Aflac Plans Email Me Similar Jobs Email Me This Job Credit Solutions..

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 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..

Bilingual Psychiatric Medical Director - to $270k DOE - Spanish SpeakingPhiladelphia, PArnWe are currently looking for a Psychiatric Medical Director to work in our community mental health program. rnStaffClinix represents..

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..