Grievance And Appeals Specialist Work At Home Jobs in South Carolina

... uses their medical background, experience, and judgement to make determinations whether ... services, requested level of care, and/or requested site of service should ... service should be authorized. All..

... Director relies on medical background and reviews health claims. The Medical ... health claims. The Medical Director work assignments involve moderately complex to ... Medical Director provides medical interpretation..

... fit for Humana's Grievances & Appeals Representative 3 role. Responsibilities What ... is warranted. Perform advanced administrative and/or customer support duties that require ... duties that require independent initiative..