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Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
... Office Word, Excel, Outlook Fully Bilingual English/Spanish. Must be able to speak, ... a Language Proficiency Assessment in English/Spanish. See Additional Information on testing ... PR 00918 Language Proficiency..
... verbal and listening communication skills (English/Spanish) Fully Bilingual - English/Spanish. Must be able to speak, ... Rico Only. Language Proficiency Testing (English/Spanish ): Any Humana associate who ... in..
... Inbound Contacts Representative 2 (Fully Bilingual in English/Spanish) in San Juan Puerto Rico ... performed for English and or bilingual Spanish during screen and/or interview. Anticipated ... San Juan..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g. CPT) to patient records. The Medical Coding Auditor ..
Job Information Humana Grievances & Appeals Representative 3 (Bilingual English/Spanish) San Juan, PR in San Juan Puerto Rico Description The Grievances & Appeals Representative 3 manages client medical denials by conducting ..
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 ..
... Humana Call Quality Professional 1 (Bilingual English/Spanish) in San Juan Puerto Rico ... Office PowerPoint and Vizio Fully Bilingual English/Spanish. Must be able to speak, ... a Language Proficiency..
Description The Supervisor, Inbound Contacts represents the company by addressing incoming telephone, digital, or written inquiries. The Supervisor, Inbound Contacts works within thorough, prescribed guidelines and procedures; uses independent judgment requiring ..
... established guidelines/procedures. Required Qualifications Fully Bilingual English/Spanish. Must be able to speak, ... a Language Proficiency Assessment in English/Spanish. See Additional Information on testing ... Travel: none Language Proficiency..
... Research & Resolution Representative 2 (Bilingual - English/Spanish) (Remote) in San Juan Puerto ... Juan Puerto Rico Description The Bilingual Claims Research and Resolution Representative ... perks for well-being..
Description The Senior Internal Auditor develops, plans and executes internal audits to provide assurance for Puerto Rico's accounting records and the operational activities of Puerto Rico to ensure compliance with the ..
Description The Credentialing Assistant 3 obtains and reviews documentation to determine status in a health plan. The Credentialing Assistant 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. ..
Description Do you enjoy helping those in need? Do you love researching, analyzing medical documents to determine if something was missed? Have you ever considered yourself a detective for medical claims ..
Description The Wellness Coach 2 supports health promotion and disease prevention and care management services. The Wellness Coach 2 work assignments are varied and frequently require interpretation and independent determination of ..
... & Appeals Representative 3 (Fully Bilingual English/Spanish) San Juan, PR in San ... School Diploma or equivalent Fully Bilingual English/Spanish. Must be able to speak, ... a Language Proficiency..
... Outbound Contact Representative 3 (FULLY Bilingual English/Spanish) San Juan, Puerto Rico in ... verbal and listening communication skills (English/Spanish) Fully Bilingual - English/Spanish. Must be able to speak, .....
Description The Product Manager 2 Conceives of, develops, delivers, and manages products for customer use. The Product Manager 2 work assignments are varied and frequently require interpretation and independent determination of ..
... Senior Business Support Professional (Fully Bilingual English/Spanish) San Juan, PR in San ... continuously improving consumer experiences Fully Bilingual English/Spanish . Must be able to ... a Language Proficiency..
Description The Bilingual Claims Research and Resolution Representative ... Where you Come In The Bilingual Claims Research & Resolution Representative ... it takes to Succeed Fully Bilingual English/Spanish. Must be..
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 ..
Description The Project Manager 2 manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Manager 2 work assignments ..
... Required Qualifications Bachelor's Degree Fully Bilingual English/Spanish. Must be able to speak, ... a Language Proficiency Assessment in English/Spanish. See Additional Information on testing ... Reports: 10 Language Proficiency..
