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Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization..
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..
Description Humana is continuing to grow especially within Medicaid! We have several new Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida Medicaid..
Description The Bilingual Production Professional 2 produces of a wide range of print projects for external and internal audiences. The Bilingual Production Professional 2 work assignments are varied and frequently..
Description The Specialty Retention Executive - Employer Group 2-99 is responsible for growing membership within existing accounts and for directly managing business relationships with client accounts. The Retention Executive -..
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..
Do you speak English AND another language ? Are you looking for ways to use your language skills to make a difference in your community? The Burlington School District is..
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..
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..
Description Humana is continuing to grow nationwide! We have several new Inbound Contact Representatives openings that will have the pleasure of taking inbound calls from our Medicare Members and provide..
Job Information Humana Inbound Contact Rep 2 - English OR Bilingual English and Spanish in Montpelier Vermont Description The Inbound Contacts Representative 2 represents the company by addressing incoming telephone,..
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 &..
Description Get your foot in the door with this Entry-Level Training Ground Inside Sales Executive position! Enjoy a fast paced dynamic environment that offers a variety of responsibilities and assignments..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement...
Description Humana is looking for an experienced Counselor that truly enjoys helping those in need within a call center environment. Our Counselor's provide ongoing and crisis intervention counseling focused on..
Description Humana is continuing to grow! We have several new Inbound Contact Representatives openings that will have the pleasure of taking inbound calls from our Medicare Members and provide excellent..
Description The Inbound Contacts Representative 2 represents Humana by addressing incoming telephone, digital, or written inquiries from Medicare Members. The Inbound Contact Representative 2 strives to provide resolution or path..
Job Information Humana Call Quality Professional 1 in Montpelier Vermont Description The Call Quality Professional 1 monitors and evaluates the quality of inbound and/or outbound customer service calls, call documentation..
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..
Job Information Humana Social Worker-MSW and licensure required- Telephonic Behavioral Health-SNP- WAH Nationwide in Montpelier Vermont Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses..
