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Job Information Humana Senior Business Intelligence Engineer - Louisville, KY or Work at Home in Springfield Missouri Description The Senior Business Intelligence Engineer solves complex business problems and issues using data ..
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 ..
Description Responsibilities The Grievances & Appeals Representative 4 assists members, via phone or face to face, further/support quality related goals. Reviews the level 1 appeals cases and ensures that information is ..
... Medicaid Members and provide excellent service and support. These roles will ... Information) Minimum 2 years of customer service experience Must be available to ... Demonstrated experience with providing..
... manages claims operations that involve customer contact, investigation, and settlement of ... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... of Call Center or related..
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 ..
Job Information Humana Medicare Enrollment Representative 2 - Work at Home/Remote USA in Springfield Missouri Description The Enrollment Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. The Enrollment ..
... have several new Inbound Contact Representatives openings that will have the ... our members and providing excellent service and support. These remote roles ... Inbound Contact Representative 2 addresses..
... manages claims operations that involve customer contact, investigation, and settlement of ... complex administrative / operational / customer support assignments. Performs computations. Typically ... of call center or related..
... inquiries. The Advocate performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on ... digital, or written inquiries Addressing customer needs which may include complex ... it. Advancing unresolved and pending..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Springfield Missouri Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, and ..
... 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..
... Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... warranted. Perform advanced administrative and/or..
... have several new Inbound Contact Representatives openings that will have the ... Medicare Members and provide excellent service and support. These roles will ... Inbound Contact Representative 2 addresses..
Job Information Humana Senior Learning Design Professional: REMOTE/WORK AT HOME (Anywhere in the US) in Springfield Missouri Description The Senior Learning Design Professional analyzes content, organizes content, designs solutions, and writes ..
Description Responsibilities This position can be in office or work at home in EST or CST and will provide coverage for eastern time zone hours. Weekend work required. Schedules will be ..
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 ..
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 ..
... leads advanced and highly specialized administrative/operational/customer support duties that require independent ... Inbound Contacts Representative 4 addresses customer needs which may include complex ... it. Escalates unresolved and pending..
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 ..