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Job Description The Quality Consultant role will be responsible for monitoring and evaluating the quality of inbound telephone calls customer emails and chat by conducting daily monitoring to enhance customer..
Job Information Humana Bilingual Quality Auditor in Newport Rhode Island Description The Bilingual Quality Auditor Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of..
Job Description CVS Health has an exciting new opportunity for a Bilingual Customer Care Representative The Customer Care Contact Center is actively hiring service focused professionals fielding inbound contacts from..
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 Utilization Management Administration Coordinator - Remote in Newport Rhode Island Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied..
Job Description CVS Health has an exciting new opportunity for a Bilingual Customer Care Representative. The Customer Care Contact Center is actively hiring service focused professionals fielding inbound contacts from..
ABOUT:nPeople helping people. That's what a credit union, and in particular Navigant Credit Union, is all about. Our mission is to improve the financial well-being of the families, businesses, and..
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 Utilization Management Registered Nurse - Remote in Newport Rhode Island Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of..
ACT Substance Use Specialist (Full Time) Location: Woonsocket, RI All staff must be vaccinated for COVID-19 prior to starting work, unless a certified medical exemption accommodation is granted. Proof of..
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 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 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 Bilingual Quality Auditor in Newport Rhode Island Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of..
Job Description The Quality Consultant role will be responsible for monitoring and evaluating the quality of inbound telephone calls, customer emails and chat by conducting daily monitoring to enhance customer..
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, 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,..
ACT Vocational Specialist (Full Time) Location: Woonsocket, RI All staff must be vaccinated for COVID-19 prior to starting work, unless a certified medical exemption accommodation is granted. Proof of vaccination..
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..
473050BR Title: Bookkeeper What you'll do... : • Post financial transactions into subsidiary books and general ledgers • Reconcile and balance accounts • Generate and analyze financial statements • Prepare..
Job Information Sherwin-Williams Wholesale Product Specialist Bilingual Spanish in WARWICK Rhode Island Wholesale Product Specialist Bilingual Spanish - ( 230007RH ) Description Why Sherwin-Williams Here, we believe there’s not one..
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..
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..
Job Information Humana Telephonic Behavioral Health Care Manager in Newport Rhode Island Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to..
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..
