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Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..
Description The Pharmacy Development Specialist will be responsible for qualifying and managing new business leads and cultivating prospects and sales. Responsibilities Summary The Business Development Specialist will be responsible for managing ..
Job Information Humana Vulnerability Remediation Specialist (Remote) in Ridgeland Mississippi Description The Systems Engineer 2 is responsible for design, analysis, configuration and maintenance of complex systems software solutions, based on a ..
... The position of Patient Access Specialist provides customer-service at all points ... and ensures patient demographic and insurance information are correct, resulting in ... clearance, charity application, Medicaid screening,..
Description The UM Compliance Letters Specialist/Coordinator 2 contributes to administration of utilization management in the Compliance department. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..
... Certified Diabetes Care and Education Specialist-Remote-US in Ridgeland Mississippi Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
Description The UM Specialist /UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
Job Information Humana Senior Integration Specialist - Cloud in Ridgeland Mississippi Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating functional silos existing between development ..
Position: Insurance Verification Specialist Pay: $14-20/hr (based on experience) ... Meyers, FL 33913 As an Insurance Verification Specialist, you will play a key ... to ensure understanding of medical insurance..
Job Information Humana Pharmacy Claims Specialist, Remote in Ridgeland Mississippi Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 performs ..
Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..
Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Ridgeland Mississippi Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and ..
Job Information Humana Vendor Management Specialist 3 in Ridgeland Mississippi Description ... Mississippi Description The Vendor Management Specialist 3 works as liaison between ... and organization. The Vendor Management Specialist..
Position: Medical Billing and Coding Specialist Pay: $18-22/hr (based on experience) ... ? We are hiring motivated healthcare professionals like you for a ... you for a Medical Billing Specialist..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
Description The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where ..
Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..
Job Information Humana Specialty Drug Site of Care Specialist in Ridgeland Mississippi Description The Specialty Pharmacy Programs Clerk 2 supports clinical programs and comprehensive insights directly related to Specialty Pharmacy products ..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Ridgeland Mississippi Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..
Description The Medical Record Retrieval Specialist (Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding ..
Job Information Centerwell Administrative Specialist / Human Resources Designee in ... in Starkville Mississippi The Administrative Specialist / Human Resources Designee is ... driver’s license and automobile liability insurance. Typing..