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Description The Consumer Service Operations Representative 2 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Representative 2 performs varied activities and moderately complex administrative/operational/customer ..
Job Information Humana Supervisor, Grievances & Appeals - Remote, EST or CST in Troy Michigan Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review ..
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Job Information Humana Specialty Pharmacy RX Education Manager in Troy Michigan Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying member ..
Job Information Humana Specialty Pharmacy RX Enrollment Manager in Troy Michigan Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying member ..
... to travel 20% to meet client and Enclara business needs. Essential ... federal and state regulations and client needs. Proactively assess implications of ... service inquiries and providing direct..
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 further request is warranted ..