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17,196 Job Information Deloitte Conversational AI and VUI Designer, Consultant - Applied Artificial Intelligence in Cincinnati Ohio Conversational AI and VUI Designer, Consultant - Applied Artificial Intelligence Limited immigration sponsorship may ..
Description MUST BE BILINGUAL: CHINESE/ENGLISH (written and spoken proficiency) MUST HAVE WA RN LICENSE The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and ..
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 ..
Job Information Humana Bilingual Spanish RN Care Manager--Compact License Required-WAH Nationwide in Cincinnati Ohio Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs ..
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 Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
Job Information Humana Supervisor, Grievances & Appeals - Remote, EST or CST in Cincinnati Ohio Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review ..
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 everywhere, ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Cincinnati Ohio Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH Nationwide in Cincinnati Ohio Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
Job Information Humana Subrogation Professional 2-WAH in US in Cincinnati Ohio Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all ..
Description Responsibilities The Payment Integrity Professional 2 contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. This position ..
Job Information Humana RN Care Manager--Compact License Required-WAH Nationwide in Cincinnati Ohio Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..
Job Information Humana Senior Clinic Emerging Markets Trainer, Merger & Acquisition - Remote in Cincinnati Ohio Description The Senior Clinic Emerging Markets Trainer creates and implements processes and programs to ensure ..
Job Information Humana Claims Research & Resolution Representative 2 (Bilingual - English/Spanish) (Remote) in Cincinnati Ohio Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which may include ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Description The Outbound Contacts Representative 3 represents the company by making outbound contacts to members and/or providers regarding a variety of issues. The Outbound Contacts Representative 3 performs advanced administrative/operational/customer support ..
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 ..
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 ..
Job Information Humana Utilization Management Administration Coordinator - Remote in Cincinnati Ohio Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and ..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual strongly preferred-WAH Nationwide in Cincinnati Ohio Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
Job Information Humana Subrogation Professional 2 Remote/WAH in USA in Cincinnati Ohio Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying ..
