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Description The Grievances & Appeals Representative 3 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 Specialty Pharmacy RX Enrollment Manager in Ridgeland Mississippi 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 Education Manager in Ridgeland Mississippi Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying member ..
Job Information Humana Supervisor, Grievances & Appeals - Remote, EST or CST in Ridgeland Mississippi Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review ..
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 ..
... accurate and timely responses to client inquiries and reporting deliverables. The ... to support a highly responsive client issue resolution model. Monitor incoming ... follow-up as needed. Monitor incoming..