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Description The Bilingual Consumer Service Operations Representative 3 is responsible for ... functions area. The Consumer Service Operations Representative 3 performs advanced administrative/operational/customer ... Come In The Consumer Service Operations..
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) ..
Description The Care Management Support Assistant 2 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 The Compliance (UM) Professional 2 conducts and summarizes compliance audits. The Compliance (UM) Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses ..
Description The Field Care Manager Nurse 2 assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate ..
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 The Enrollment Representative 3 processes applications from members, enrolls them on company platforms, and transmits enrollment to Center for Medicare and Medicaid Services. The Enrollment Representative 3 performs advanced administrative/operational/customer ..
Description Help our team achieve their best! Are you detail oriented? Do you have experience with coaching/providing feedback This might be the job for you! The Call Quality Coach (Call Quality ..
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 The Inbound Contacts Representative 1 (Go365 Calls Rep) represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs operational/customer support/computational tasks. Typically works ..
Description The Subrogation Professional 2 iIdentifies, 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 ..
Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which may include complex financial recovery questions, and resolving issues. Records details of inquiries, comments or complaints, transactions or ..
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 ..
Job Information Humana Care Coach 1 - Bilingual (English/Spanish) - Tampa, FL in Tampa Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain ..
