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Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..
Job Information Humana Senior Learning Design Professional: REMOTE/WORK AT HOME (Anywhere in the US) in Metairie Louisiana Description The Senior Learning Design Professional analyzes content, organizes content, designs solutions, and writes ..
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... Medicare Members and provide excellent service and support. These roles will ... and grow!! The Inbound Contacts Representative 2 represents the Humana by ... Medicare Members. These Inbound Contact..
Description Responsibilities The Grievances & Appeals Representative 2 for IRT will be responsible for assigning cases to associates on team to send to independent entity for 2nd level review. Tracking volume ..
... leads advanced and highly specialized administrative/operational/customer support duties that require independent ... contracts. Manages provider audits, provider service and relations, credentialing, and contract ... intake and manage provider perceived..
... have several new Inbound Contact Representative openings that will have the ... Medicaid Members and provide excellent service and support. These roles will ... Healthcare industry!! The Inbound Contacts..
Job Information Humana Medicare Enrollment Representative 2 - Work at Home/Remote ... Metairie Louisiana Description The Enrollment Representative 2 performs varied activities and ... varied activities and moderately complex administrative/operational/customer..
... our members and providing excellent service and support. These remote roles ... grow. Responsibilities The Inbound Contacts Representative 2 represents Humana by addressing ... Medicare members. These Inbound Contact..
... Sunday The Grievances & Appeals Representative 4 assists members, further/support quality ... skills required 1-3 years of customer service experience Strong proficiency with Microsoft ... inbound call center or..
Description The Senior Power BI Engineer on the MarketPoint Sales Reporting team solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers via ..
Description The Claims Research & Resolution Specialist 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..
... Responsibilities The Grievances & Appeals Representative 4 assists members, via phone ... skills required 1-3 years of customer service experience Strong proficiency with Microsoft ... inbound call center or..
... The Claims Research & Resolution Representative 2 manages claims operations that ... manages claims operations that involve customer contact, investigation, and settlement of ... The Claims Research & Resolution..
Description The Payment Integrity Professional 2 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 ..
Description The Inbound Contacts Representative 4 represents the company by ... written inquiries. The Inbound Contacts Representative 4 assumes ownership and leads ... leads advanced and highly specialized administrative/operational/customer support..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... 1 - 2 years previous customer service experience Excellent verbal and written ... and/or ICD-10 codes Prior..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... GED Minimum 1 year of customer/client support experience Administrative or technical ... required. Satellite and Wireless Internet..
Description The Grievances & Appeals Representative 3 manages client denials and ... parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... Responsibilities The..
