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86

Associate Jobs in Rhode Island





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Job info
 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Jul 17, 2021
Info Source
Employer  - Full-Time  90  

Description Humana is continuing to grow! We have several new Inbound Contact Representatives openings that will have the pleasure of taking inbound calls from our Medicare Members and provide excellent service ..

 
Company
**********
Location
Newport, RI
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

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 our ..

 
Company
**********
Location
Newport, RI
Posted Date
Apr 15, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Newport Rhode Island Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience ..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
May 04, 2023
Info Source
Employer  - Full-Time  90  

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 achieve ..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Dec 12, 2022
Info Source
Employer  - Full-Time  90  

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 everywhere, ..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Sep 01, 2022
Info Source
Employer  - Full-Time  90  

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 on ..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Nov 24, 2022
Info Source
Employer  - Full-Time  90  

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 changes ..

 
Company
**********
Location
Newport, RI
Posted Date
Sep 14, 2022
Info Source
Employer  - Full-Time  90  

Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward resources appropriate for the ..

 
Company
**********
Location
Newport, RI
Posted Date
May 13, 2023
Info Source
Employer  - Full-Time  90  

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, Pre-Authorization ..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Apr 22, 2023
Info Source
Employer  - Full-Time  90  

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 Members ..

 
Company
**********
Location
Newport, RI
Posted Date
Dec 25, 2022
Info Source
Employer  - Full-Time  90  

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 to ..

 
Company
**********
Location
Newport, RI
Posted Date
Aug 28, 2022
Info Source
Employer  - Full-Time  90  

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 further ..

 
Company
**********
Location
Newport, RI
Posted Date
Jun 23, 2023
Info Source
Employer  - Full-Time  90  

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 flexibility ..

 
Company
**********
Location
Newport, RI
Posted Date
Dec 18, 2022
Info Source
Employer  - Full-Time  90  

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 wellness ..

 
Company
**********
Location
Newport, RI
Posted Date
Apr 29, 2023
Info Source
Employer  - Full-Time  90  

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 and ..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
May 04, 2023
Info Source
Employer  - Full-Time  90  

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 health ..

 
Company
**********
Location
Newport, RI
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

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 shine? ..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Jan 15, 2023
Info Source
Employer  - Full-Time  90  

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 warranted ..

 
Company
**********
Location
Newport, RI
Posted Date
Oct 16, 2022
Info Source
Employer  - Full-Time  90  

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

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Nov 12, 2022
Info Source
Employer  - Full-Time  90  

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 internal ..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Jul 28, 2022
Info Source
Employer  - Full-Time  90  

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 and facilitate ..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
May 18, 2023
Info Source
Employer  - Full-Time  90  

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 Grievances ..

 
Company
Humana Inc.
Location
Newport, RI
Posted Date
Jun 03, 2023
Info Source
Employer  - Full-Time  90  

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 quality. ..

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