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Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination documentation and communication of behavioral health services and or benefit administration determinations The Utilization..
Description The Inbound Contacts Representative represents the company by addressing incoming telephone digital or written inquiries The Inbound Contacts Representative performs varied activities and moderately complex administrative operational customer support..
Type of Requisition Regular Clearance Level Must Be Able to Obtain None Public Trust Other Required NACI T1 Job Family Training The Lead Training Specialist provides training and technical assistance..
Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of behavioral health services and/or benefit administration determinations. The Utilization Management..
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 Manager, Specialty Pharmacy Sales in Montpelier Vermont Description The Manager, Pharmacy Sales - Specialty leverages targeted geographic analysis, engages with Physician offices to influence physicians to route..
Type of Requisition: Regular Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: None Job Family: Functional Experts We are GDIT. The people supporting and securing some of..
Type of Requisition: Regular Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: NACI (T1) Job Family: Training The Lead Training Specialist provides training and technical assistance to..
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..
Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH Nationwide in Montpelier Vermont Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates..
Job Information Humana RN Care Manager--Compact License Required-WAH Nationwide in Montpelier Vermont Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization..
Job Information Humana Bilingual Spanish RN Care Manager--Compact License Required-WAH Nationwide in Montpelier Vermont Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members'..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Montpelier Vermont Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience..
The International Productions Department leads productions for domestic and international sporting events and studio programs, and services our various channels, platforms, and partners around the world. This Producer I, ESPN..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement...
Description The Bilingual Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or..
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..
Job Information Humana Manager, Utilization Management RN - Remote in Montpelier Vermont Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of..
Description The Care Management Support Assistant 2 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 The Behavioral Health Care Coordinator, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate..
Description The Inbound Contacts Representative represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative performs varied activities and moderately complex administrative/operational/customer support assignments. Performs..
Dual Certified Middle School Language Teacher (French/Spanish) Hunt Middle School is seeking a Dual Certified French and Spanish Teacher to join their school. The individual should be licensed in both..