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Job Information Humana Sales Representative - Areas Este, Oeste y Sur de PR (Health license. Travel 100%) Sign-On & Retention bonus in Caguas Puerto Rico Description The MarketPoint Sales Representative..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works..
Description The Claims Research & Resolution Representative 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both..
Description Required: (English/Spanish) & Must reside in Puerto Rico The Product Manager 2 Conceives of, develops, delivers, and manages products for customer use. The Product Manager 2 work assignments are..
Job Information Humana Grievances and Appeals Representative 3 - KY, WI or PR in San Juan Puerto Rico Description Do you enjoy helping those in need? Do you love researching,..
Job Information Humana Care Manager, Telephonic Nurse 2 (Fully Bilingual RN with Clinical exp.) - WAH Puerto Rico in San Juan Puerto Rico Description The Care Manager, Telephonic Nurse 2..
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..
Job Information Humana Senior Vendor Management Professional in San Juan Puerto Rico Description The Senior Vendor Management Professional works as liaison between vendors and organization. The Senior Vendor Management Professional..
Job Information Humana Consumer Service Operations Representative - Manati, PR in Manati Puerto Rico Description The Consumer Service Operations Representative is responsible for the daily activities across multiple service functions..
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 Information Humana Consumer Service Operations Representative 3 in Barceloneta Puerto Rico Description The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area...
Description The Outbound Contacts Representative 3 represents the company by making outbound contacts to members and/or providers regarding a variety of issues. The Outbound Contacts Representative 3 performs advanced administrative/operational/customer..
Description The Care Management Support Assistant 3 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..
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 Activity Coordinator in Manati Puerto Rico Description The Activity Coordination ensures the day-to-day operations of the Wellness Center and meets participants needs. The Activity Coordination also performs..
Description The Product Manager 2 Conceives of, develops, delivers, and manages products for customer use. The Product Manager 2 work assignments are varied and frequently require interpretation and independent determination..
Job Information Humana Medical Claims Processing Representative 2 in San Juan Puerto Rico Description The Medical Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via..
Description Humana is continuing to grow! The CarePlus Health Plan is offering new Inbound Contacts Representative 2 / Call Center Representative positions that will have the pleasure of taking inbound..
Job Information Humana Outbound Contacts Representative 3 in San Juan Puerto Rico Description The Outbound Contacts Representative 3 represents the company by making outbound contact to members and/or providers regarding..
Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances &..
Description The Business Support Coordinator 2 follows established procedures and guidelines to provide timely and effective clerical support to an office, business unit, department, or other organization group. The Business..
Job Information Humana RN Care Manager, Telephonic Nurse (Bilingual) - Puerto Rico in San Juan Puerto Rico Description This is a Work-At-Home position located in Puerto Rico. You must be..
Description Humana is looking to add new associate to the PrePay Audit team in San Juan, PR. This Claims Review Representative 3 opportunity is 100% work-at-home position for the San..