Bilingual Provider Contracting Professional Jobs

Description Do you have a strong attention to detail with experience in claims or analyzing data reports? Humana is looking for a Payment Integrity Professional to contribute to overall cost reduction, ..

Description The Claims Review Representative 3 makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. The Claims Review Representative 3 performs advanced ..

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 ..

Description Employs a variety of strategies, approaches and techniques to manage a member's health issues Identifies and resolves barriers that hinder effective care Ensures patient is progressing towards desired outcomes by ..

Description Employs a variety of strategies, approaches and techniques to manage a member's health issues Identifies and resolves barriers that hinder effective care Ensures patient is progressing towards desired outcomes by ..

Description The Claims Review Representative 3 makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. The Claims Review Representative 3 performs advanced ..

Description The Claims Review Representative 3 makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. The Claims Review Representative 3 performs advanced ..

Description Employs a variety of strategies, approaches and techniques to manage a member's health issues Identifies and resolves barriers that hinder effective care Ensures patient is progressing towards desired outcomes by ..

Description The Senior Provider Relations Professional develops and grows positive, long-term ... the health plan. The Senior Provider Engagement Professional work assignments involve moderately complex ... retention strategies. Responsibilities The..

Description Employs a variety of strategies, approaches and techniques to manage a member's health issues Identifies and resolves barriers that hinder effective care Ensures patient is progressing towards desired outcomes by ..