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Description The Referral Coordinator 2 schedules and pre-registers patients for exams and procedures with specialists and providers outside of the primary care physician's office. The Referral Coordinator 2 performs varied activities ..
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Description The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for final distribution all medical records received ..
Description The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. Responsibilities The ..
Description The Subrogation Professional 2 iIdentifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..
Description The Senior Installation Administration Professional establishes and manages relationships with internal and external clients. Coordinates end to end process from the point of sale to members loaded in system, ID ..
Job Information Humana Agile Release Train Lead in San Juan Puerto Rico Description The Agile Release Train Lead is a servant leader and coach for the Agile Release Train (ART). The ..
Description Responsibilities The purpose of the Director, Strategy Advancement, Chief of Staff to the SVP, Employer Group is to work with the Employer Group leadership team on segment strategies. Advises and ..
Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward ..
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 ..
Description The Senior Incident Response Engineer will be part of a dynamic, growing team, hunting for and responding to cyber incidents stemming from internal and external threat actors. The Senior Incident ..
Description Humana's Claims Cost Management (CCM) Organization is looking for a Provider Invoicing & Payment Lead to lead the Vendor, Provider Invoicing team working from home. The Provider Invoicing & Payment ..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Description This position will organize and plan initiatives that support the Marketing & Communications organization on understanding company-wide initiatives, improving engagement and supporting associates through change. This position will also advise ..
Description The Technology Solution Implementation Professional 2 delivers new technological solutions to meet business needs within a specified scope while aligned to enterprise objectives. The Technology Solution Implementation Professional 2 work ..
Job Information Humana Senior MuleSoft C4E Program/Operations Engineer-Remote / Virtual in San Juan Puerto Rico Description This role is responsible for the MuleSoft Center for Enablement (C4E) operations, tracking key metrics, ..
:text,ActualValueFromSolar:null},{QuestionName:Job Description,AnswerValue:u003cpu003eESSENTIAL FUNCTIONSu003c/pu003eu003culu003eu003cliu003eDeliver superior service when connecting with AMC guests and leading associates.u003c/liu003eu003cliu003eOptimize Crew placement for each job function on a round-by-round basis.u003c/liu003eu003cliu003eAssist with assigning breaks and jobs within an assigned ..
Description The Medical Coding Coordinator 2 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
Job Information Humana Scrum Master in San Juan Puerto Rico Description The Senior Scrum Master coordinates an agile development team, ensures all activities use the principles of the Scrum Framework. The ..
Description The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use. The Senior Product Manager work assignments involve moderately complex to complex issues where the analysis of ..
Description The Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development Advisor ..
Job ID 21000FTKAvailable Openings 1Position Specific Information Mantenimiento Part-Time PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all ..