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Description The Associate Director, Consumer Service Operations is responsible for the daily activities across multiple service functions area. The Associate Director, Consumer Service Operations requires a solid understanding of how organization ..
Description Responsibilities Role Description Summary The Director of the National Call Center/evendor channel is responsible and accountable for building, leading and having oversight of the go to market business strategy at ..
Description Responsibilities The Billing & Enrollment Representative will assist members in a fast-paced inbound call center environment. You will be responsible for: Processing enrollments, payments, address changes or other enrollment related ..
Job Information Humana Billing & Reconciliation Representative 2-Remote in US in Troy Michigan Description The Billing & Reconciliation Representative 2 determines discrepancies between company records and the records of Center for ..
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 ..
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 ..
Description iCare is seeking a Call Center and Claims Representative to meet the needs of members, potential enrollees and providers by providing a resource by phone to answer inquiries related to ..
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 ..
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 ..
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 ..
Job Information Humana Provider Contract Management Systems Administration Senior Professional in Troy Michigan Description The Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and protocol, case studies, and ..
Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical Management and PCO-IPU Operations teams. ..
Description The Outbound Contacts Representative 3 represents the company by making outbound contacts to members and/or providers regarding a variety of issues. The Outbound Contacts Representative 3 performs advanced administrative/operational/customer support ..
Job Information Humana Senior Inbound Workforce Management Professional in Troy Michigan Description The Senior Inbound Workforce Management Professional represents the company by coordinating the work activities of the Service Level Management ..
Description The Referrals Coordinator 2 processes referrals from Civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Typically works on semi-routine assignments. Responsibilities The Referrals ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management for Humana's KY Medicaid plan. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..
Description The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area, including but not limited to mobile touch point locations in the various markets. ..
Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional ..