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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 Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..
Description The Bilingual Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further ..
Job Information Humana Grievances and Appeals Representative 3 - KY, WI or PR in Green Bay Wisconsin Description Do you enjoy helping those in need? Do you love researching, analyzing medical ..
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 ..
Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward resources appropriate for the ..
Job Information Humana Associate VP, Research Consulting-Humana Healthcare Research (HHR). in Green Bay Wisconsin Description The AVP requires an in-depth understanding of how organization capabilities interrelate across segments and/or enterprise-wide, and ..
Description The 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 works on ..
Description The Grievances & Appeals Representative 4 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
Description The Subrogation Professional II identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Green Bay Wisconsin Description The Quality (Non-Calls) Professional 2 ensures that ..
Description iCare is seeking a Bilingual (English/Spanish) Community Health Worker (CHW) who will provide high touch support and coordination to designated iCare members. Responsibilities The Bilingual (English/Spanish) CHW works closely with ..
Job Information Humana Telephonic Behavioral Health Care Manager in Green Bay Wisconsin Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve ..
... either CCHI (Certification Commission for Healthcare Interpreters) or the National Board. ... requirements and the use of interpreter services through formal and informal ... climbing. **Licenses / Certifications:** Certified..
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 facilitate ..
Description Humana is continuing to grow nationwide! We have several new Bilingual Inbound Contact Representatives openings that will have the pleasure of taking inbound calls from our Medicaid Members and provide ..
Ultrasound Technician Vanish Advanced Vein Treatment Centers • Oak Creek WI 53154 Job #2509911739 Vanish - Advanced Vein Treatments is a fast-growing medical clinic, seeking a dedicated Ultrasound Technician Oak Creek ..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
Description The Care Management Support Assistant contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
... requirements and the use of interpreter services through formal and informal ... climbing. **Licenses / Certifications:** Certified Healthcare Interpreter (CHI) - Certification Commission for ... (CHI) - Certification Commission..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the flexibility ..
