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Description MUST BE BI-LINGUAL: KOREAN/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 requirements ..
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 requirements ..
17,196 Job Information Deloitte Conversational AI and VUI Designer, Consultant - Applied Artificial Intelligence in Indianapolis Indiana Conversational AI and VUI Designer, Consultant - Applied Artificial Intelligence Limited immigration sponsorship may ..
Job Information Humana Subrogation Professional 2-WAH in US in Indianapolis Indiana Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all ..
Job Information Humana RN Care Manager--Compact License Required-WAH Nationwide in Indianapolis Indiana Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..
Job Information Humana Subrogation Professional 2 Remote/WAH in USA in Indianapolis Indiana Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying ..
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 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 ..
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, ..
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 ..
Job Information Humana Claims Research & Resolution Representative 2 (Bilingual - English/Spanish) (Remote) in Indianapolis Indiana Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which may include ..
Job Information Humana Bilingual Spanish RN Care Manager--Compact License Required-WAH Nationwide in Indianapolis Indiana Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs ..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH Nationwide in Indianapolis Indiana Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
Job Information Humana Utilization Management Administration Coordinator - Remote in Indianapolis Indiana Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and ..
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 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 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-Spanish Bilingual strongly preferred-WAH Nationwide in Indianapolis Indiana Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
Description The Senior Sales Support Professional provides timely and effective sales administrative support to assist with the acquisition and retention of customers. The Senior Sales Support Professional work assignments involve moderately ..
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 Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Indianapolis Indiana Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..
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 ..