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Description The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a framework ..
Description The Compliance (UM) Lead conducts and summarizes compliance audits. The Compliance (UM) Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities The Compliance (UM) ..
Job Information Humana Grievances & Appeals Representative 3 (FULLY BILINGUAL English/Spanish) Work at Home Florida ONLY in New Port Richey Florida Description The Bilingual Grievances & Appeals Representative 3 manages client ..
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 ..
Description The Quality (Non-Calls) Professional 2 ensures that products meet certain standards of quality. The Quality (Non-Calls) Professional 2 work assignments are varied and frequently require interpretation and independent determination of ..
Job Information Humana OB Care Management Support Assistant 2/Medicaid (Bilingual English/Spanish or Creole) Remote FL in Lutz Florida Description The Care Management Support Assistant 2 contributes to administration of care management. ..
Job Information Humana Care Coach 1 - West Pasco/West Tampa - FL - Bilingual Preferred in New Port Richey Florida Description The Care Coach 1 assesses and evaluates member's needs and ..
Job Information Humana Grievances & Appeals Representative 3 (FULLY BILINGUAL English/Spanish) Work at Home Florida ONLY in Port Richey Florida Description The Bilingual Grievances & Appeals Representative 3 manages client denials ..
Job Information Humana Bilingual English/Spanish Care Coach 1 - West Pasco/West Tampa - FL in New Port Richey Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements ..
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 ..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
Description The Bilingual Telephonic Care Coach 1 / Specialist assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with ..
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
Job Information Humana OB Care Management Support Assistant 2/Medicaid (Bilingual English/Spanish or Creole) Remote FL in New Port Richey Florida Description The Care Management Support Assistant 2 contributes to administration of ..
Description The Bilingual Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area. The Bilingual Consumer Service Operations Representative 3 performs advanced administrative/operational/customer support duties ..
Job Information Humana Bilingual RN Care Manager- Conviva- Dunedin, FL in Dunedin Florida Description Responsibilities At Conviva Care Solutions, we want to inspire people to live life their best healthy life. ..
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 ..
... nationwide! We have 28 new Bilingual Medicaid Inbound Contact Representative openings ... grow across the USA!! A Bilingual Medicaid Inbound Contacts Representative 2 ... Job Duties / Functions: The..
Job Information Humana Bilingual Quality Auditor in Tampa Florida Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
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 ..
Description The Bilingual Spanish/English Provider Contracting Professional 2 ... an organization that provides health insurance. The Provider Contracting Professional 2 ... courses of action. Responsibilities The Bilingual Provider Contracting Professional..
... Information Humana Telephonic Care Coach (Bilingual - English & Spanish) in ... and productivity expectations. Responsibilities This Bilingual English and Spanish position is ... volume is 60 calls daily..
Description The Associate Director, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request ..
