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Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the ..
Job Information Humana Medicare Sales Representative - Bristol County, MA in New Bedford Massachusetts Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, and ..
Internship Opportunities - Summer 2023 The interns will work closely with attorneys, Social Services Advocates, and Investigators by providing legal representation and advocacy to indigent clients who are charged with criminal ..
Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability shine? ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
Description Be a part of our Interoperability space - Provide guidance to facilitate interaction with digital services and capabilities that connect people with lifelong well-being. Responsibilities Humana is seeking an Interoperability ..
Tax Law Specialist, GS 14 Duties: The candidate works in the specialty area of Direct Pass Thru Entities. Plans, conducts, and leads audit examinations of the most complex partnerships, S-Corporations and ..
Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST states Responsibilities The Bilingual Grievances ..
Description The Agency Broker Executive - Life Insurance places outbound calls based on leads, and completes the sales of products and/or services. The Agency Broker Executive work assignments are varied and ..
Description Humana is continuing to grow nationwide! We have 28 new Bilingual Medicaid Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida Medicaid Members ..
Job Information Humana Bilingual Quality Auditor in Newport Rhode Island Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. ..
Job Information Humana Licensed Virtual Inside Sales Agent (Bilingual) in Newport Rhode Island Description Humana's Inside Sales Agents are our member's partners in their healthcare journey. As a customer-centric company, our ..
Description Responsibilities Humana's Corporate Marketing organization is seeking 2 Bilingual Production Professionals that are fluent in both English and Spanish to join the Humana Translation team supporting Medicaid growth and to ..
Job Information Humana Bilingual English/Korean Inside Sales Agent in Newport Rhode Island Description Are you passionate about the Medicare population, looking for an opportunity to work in sales from your own ..
Description Humana is continuing to grow! The CarePlus Health Plan is offering new Inbound Contacts Representative 2 positions that will have the pleasure of taking inbound calls from our members and ..
Job Information Humana Licensed Virtual Inside Sales Agent in Newport Rhode Island Description Humana's Inside Sales Agents are our member's partners in their healthcare journey. As a customer-centric company, our top ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
... test as provided by the Federal Government. Grievance & Appeal Assessment: After ... test as provided by the Federal Government. Virtual Job Experience (VJE): After ... Humana complies with..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..