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... adherence in order to mitigate compliance and patient safety risks associated ... driving accuracy and quality assurance, compliance to all established policies and ... to promote efficiency in meeting..
... Humana Call Quality Professional 1 (Bilingual English/Spanish) in Green Bay Wisconsin ... adherence in order to mitigate compliance and patient safety risks associated ... driving accuracy and quality assurance,..
... Rep 2 - English OR Bilingual English and Spanish in Green ... Centers for Medicare and Medicaid compliance criteria. The ICR 2 role ... training and performance feedback, as..
Job Information Humana Utilization Management Registered Nurse, RN 2 in Green Bay Wisconsin Description The Utilization Management Nurse applies a Person-Centered approach, works within specific guidelines and procedures; applies advanced technical ..
Job Information Humana Compliance Prof 2/Process and Market Support- Remote in US in Green Bay Wisconsin Description Do you crave new challenges and solving problems? Are you looking for an opportunity ..
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 Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Green Bay Wisconsin Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special ..
Description The Care Management Support Assistant 2 (CMSA2) 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 ..
Description The Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g. CPT) to patient records. The Medical Coding Auditor ..
... works within a framework of compliance expectations leading to significant variabilities ... performed for English and or bilingual Spanish during screen and/or interview. ... Fluency Requirement English fluency OR..
Description Humana is continuing to grow! The CarePlus Health Plan is offering new Inbound Contact Representative 2 (Bilingual-Spanish) positions that will have the pleasure of taking inbound calls from our members ..
Description The Supervisor, Care Management Support 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 wellness ..
Job Information Humana Senior Clinic Emerging Markets Trainer, Merger & Acquisition - Remote in Green Bay Wisconsin Description The Senior Clinic Emerging Markets Trainer creates and implements processes and programs to ..
Description The Grievances & Appeals Representative 4 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request ..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Green Bay Wisconsin Description The Quality (Non-Calls) Professional 2 ensures that products meet specific ..
Job Information Humana Call Quality Coach (Call Quality Professional 2) REMOTE in Green Bay Wisconsin Description The Call Quality Coach (Call Quality Professional 2) provides information to assist in the feedback ..
Description The Quality (Non-Calls) Professional 2 ensures that products meet certain standards of quality. The Quality (Non-Calls) Professional 2 work assignments are varied and frequently require interpretation and independent determination of ..
Job Information Humana Call Quality Coach (Call Quality Professional 2) in Green Bay Wisconsin Description The Call Quality Coach (Call Quality Professional 2) provides information to assist in the feedback and ..
Job Information Humana Quality (non-calls) Professional 2/ Quality Audit/G&A (FULLY BILINGUAL English/Spanish) Remote, anywhere with Easter Time Zone in Green Bay Wisconsin Description The Quality (Non-Calls) Professional 2 ensures that products ..
Description Humana is continuing to grow! The CarePlus Health Plan is offering new Inbound Contacts Representative 2 positions that will have the pleasure of taking inbound calls from our members and ..
... 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern ... and enrollment data. Must be bilingual English/Spanish with ability to speak ... Grievance/Appeals case information to ensure..
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 assignments ..
