Medical Jobs

Job Information Humana Inbound Contact Rep 2 - English OR Bilingual English and Spanish in Jersey City New Jersey Description The Inbound Contacts Representative 2 represents the company by addressing incoming ..

Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g. CPT)..

Job Information Humana On-Call Scheduling Coordinator - Homecare in Jersey City New Jersey Description SeniorBridge is hiring remote, Part-Time Scheduling Coordinators to cover On-Call hours. On-Call hours include Mon-Fri from 5pm ..

Job Information Humana Subrogation Professional 2-WAH in US in Jersey City New Jersey Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for ..

Job Information Humana Manager, Specialty Pharmacy Sales in Jersey City New Jersey Description The Manager, Pharmacy Sales - Specialty leverages targeted geographic analysis, engages with Physician offices to influence physicians to ..

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 ..

Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Jersey City New Jersey Description The Quality (Non-Calls) Professional 2 ensures that products meet ..

... OR Provide documentation for a medical or religious exemption consideration. This ... coordinating the intake of necessary medical documents, completing letter templates, and ... Preferred Qualifications Proficient utilizing electronic..

Job Information Humana Oncology Market Director in Jersey City New Jersey Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions ..

Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Jersey City New Jersey Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical ..

Job Information Humana Senior Clinic Emerging Markets Trainer, Merger & Acquisition - Remote in Jersey City New Jersey Description The Senior Clinic Emerging Markets Trainer creates and implements processes and programs ..

Job Information Humana Utilization Management Registered Nurse - Remote in Jersey City New Jersey Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of ..

Job Information Humana Medical Claims Processing Representative 2 in ... City New Jersey Description The Medical Claims Processing Representative 2 reviews ... Go365 perks for well-being Responsibilities Medical Claims Processing..

Job Information Humana Grievances & Appeals Representative 4 (FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Jersey City New Jersey Description The Grievances & Appeals Representative 4 manages client ..

... coordination, documentation, and communication of medical services. Enjoy the flexibility of ... Management Behavioral Health Nurse completes medical record reviews from medical records sent from Behavioral Health ... of..

Job Information Humana Bilingual / Call Center / Customer Service Rep / Remote / Work from Home in Jersey City New Jersey Description Healthcare isn't just about health anymore. It's about ..

Job Information Humana Quality (non-calls) Professional 2/ Quality Audit/G&A (FULLY BILINGUAL English/Spanish) Remote, anywhere with Easter Time Zone in Jersey City New Jersey Description The Quality (Non-Calls) Professional 2 ensures that ..

Job Information Humana Subrogation Professional 2 Remote/WAH in USA in Jersey City New Jersey Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible ..

Job Information Humana Social Media Representative 3 - Remote in US in Jersey City New Jersey Description The Social Media Representative 3 protects company's brand image by monitoring and addressing social ..

Job Information Humana Manager, Utilization Management RN - Remote in Jersey City New Jersey Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..

Job Information Humana Supervisor, Grievances & Appeals - Remote, EST or CST in Jersey City New Jersey Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive ..

Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Jersey City New Jersey Description The Quality (Non-Calls) Professional 2 ensures ..

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 ..