BilingualCrossing Jobs

Telephonic Behavioral Health Care Manager- Bilingual Spanish preferred- Remote, US - USA-MD-Bethesda

Wed, 14 Sep 2022 00:00:00 CDT

Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/fami...

Medical Claims Processing Representative 2 - USA-MD-Bethesda

Sun, 16 Oct 2022 00:00:00 CDT

Job Information Humana Medical Claims Processing Representative 2 in Bethesda Maryland Description The Medical Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, s...

Bilingual Grievances & Appeals Representative - USA-MD-Bethesda

Fri, 11 Nov 2022 00:00:00 CST

Description The Bilingual Grievances & Appeals Representative 3 manages client concerns by conducting and responding to complaints, grievances and appeals in a consistent fashion, adhering to all reg...

Enrollment Representative - USA-MD-Bethesda

Thu, 24 Nov 2022 00:00:00 CST

Description The Enrollment Representative 3 processes applications from members, enrolls them on company platforms, and transmits enrollment to Center for Medicare and Medicaid Services. Responsibil...

Risk Management Lead - USA-MD-Bethesda

Mon, 12 Dec 2022 00:00:00 CST

Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Humana, we want to help people every...

Care Management Support Assistant BILINGUAL - USA-MD-Bethesda

Sun, 18 Dec 2022 00:00:00 CST

Description The Care Management Support Assistant contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements t...

Bilingual Production Professional (English/Spanish) - USA-MD-Bethesda

Sun, 25 Dec 2022 00:00:00 CST

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...

Bilingual Supervisor, Grievance & Appeals - USA-MD-Bethesda

Mon, 26 Dec 2022 00:00:00 CST

Description The Supervisor, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if a grievance, appeal, or fu...

Broker Relationship Executive - USA-MD-Bethesda

Sat, 22 Apr 2023 00:00:00 CDT

Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability...

Bilingual Medicaid Inbound Call Center Rep - USA-MD-Bethesda

Sat, 22 Apr 2023 00:00:00 CDT

Description Humana is continuing to grow nationwide! We have 28 new Bilingual Medicaid Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida Med...

Telephonic Behavioral Health Care Manager - USA-MD-Bethesda

Thu, 04 May 2023 00:00:00 CDT

Job Information Humana Telephonic Behavioral Health Care Manager in Bethesda Maryland Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs...

Process Improvement Lead - Provider Payment Integrity - USA-MD-Bethesda

Sat, 29 Apr 2023 00:00:00 CDT

Description . Responsibilities The Process Improvement Lead researches best business practices within and outside the organization to establish benchmark data. This individual collects and analyzes...

Subrogation Professional II - USA-MD-Bethesda

Tue, 02 May 2023 00:00:00 CDT

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 orga...

RN, Utilization Management - Behavioral Health - USA-MD-Bethesda

Fri, 23 Jun 2023 00:00:00 CDT

Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation...

Pre-Authorization Nursing Supervisor - USA-MD-Bethesda

Sat, 13 May 2023 00:00:00 CDT

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward reques...

Bilingual Manager, Learning Facilitation - USA-MD-Bethesda

Fri, 19 May 2023 00:00:00 CDT

Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST s...

Bilingual Quality Auditor - USA-MD-Baltimore

Sat, 03 Jun 2023 00:00:00 CDT

Job Information Humana Bilingual Quality Auditor in Baltimore Maryland Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare S...

Bilingual Quality Auditor - USA-MD-Bethesda

Sat, 03 Jun 2023 00:00:00 CDT

Job Information Humana Bilingual Quality Auditor in Bethesda Maryland Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Se...

Esperanza Center | Catholic Charities of Baltimore - Case Manager - USA-MD-Baltimore

Tue, 16 Apr 2024 00:00:00 CDT

ORGANIZATIONAL OVERVIEW:

Esperanza Center, a program of Catholic Charities of Baltimore, is a comprehensive and bilingual resource center whose mission is to welcome immi...