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Job Information Humana Grievances and Appeals Representative 3 - KY, WI or PR in San Juan Puerto Rico Description Do you enjoy helping those in need? Do you love researching, analyzing ..
Job Information Humana Medical Claims Processing Representative 2 in San Juan Puerto Rico Description The Medical Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper ..
Description Humana is looking to add new associate to the PrePay Audit team in San Juan, PR. This Claims Review Representative 3 opportunity is 100% work-at-home position for the San Juan, ..
Description The Outbound Contacts Representative 3 represents the company by making outbound contacts to members and/or providers regarding a variety of issues. The Outbound Contacts Representative 3 performs advanced administrative/operational/customer support ..
Job Information Humana RN Care Manager, Telephonic Nurse (Bilingual) - Puerto Rico in San Juan Puerto Rico Description This is a Work-At-Home position located in Puerto Rico. You must be fully ..
Description The Care Management Support Assistant 3 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 ..
Description Required: (English/Spanish) & Must reside in Puerto Rico The Product Manager 2 Conceives of, develops, delivers, and manages products for customer use. The Product Manager 2 work assignments are varied ..
Description Humana is continuing to grow! The CarePlus Health Plan is offering new Inbound Contacts Representative 2 / Call Center Representative positions that will have the pleasure of taking inbound calls ..
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 ..
Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..
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 ..
Job Information Humana Senior Vendor Management Professional in San Juan Puerto Rico Description The Senior Vendor Management Professional works as liaison between vendors and organization. The Senior Vendor Management Professional work ..
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 ..
Job Information Humana Outbound Contacts Representative 3 in San Juan Puerto Rico Description The Outbound Contacts Representative 3 represents the company by making outbound contact to members and/or providers regarding a ..
