Healthcare Supervisor Jobs in Troy

Description The Supervisor, Inbound Contacts represents the company by addressing incoming telephone, digital, or written inquiries. The Supervisor, Inbound Contacts works within thorough, prescribed guidelines and procedures; uses independent judgment requiring ..

Description The Supervisor, Consultative Pharmacy Technicians certified Pharmacy Technician who acts as an intake for all calls from patients, pharmacies and providers. The Supervisor, Consultative Pharmacy Technicians works within thorough, prescribed ..

Description The Supervisor, Inbound Contacts represents the company by addressing incoming telephone, digital, or written inquiries. The Supervisor, Inbound Contacts works within thorough, prescribed guidelines and procedures; uses independent judgment requiring ..

Job Information Humana Supervisor, Workforce Management in Troy Michigan ... for a great job? The Supervisor, Workforce Management applies and integrates ... and human resource compliance). The Supervisor, Workforce Management..

Description The Care Delivery Tele Sales Supervisor supports and develops a team of Care Delivery Tele Sales Agents. The Care Delivery Tele Sales Supervisor provides timely and effective support to assist ..

Job Information Humana Supervisor, Credentialing in Troy Michigan Description ... Troy Michigan Description Responsibilities The Supervisor, Credentialing Operations is responsible for ... requested by his or her supervisor, consistent with..

Description The Integrated Model for D-SNP team is focused on delivering an integrated member experience through a multidisciplinary team. Focused on the highest risk D-SNP members, this team coordinates both inbound ..

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 Supervisor, Grievances & Appeals manages client ... an appeal is warranted. The Supervisor, Grievances & Appeals works within ... and analytical approach. Responsibilities The Supervisor, Grievances & Appeals..

Description The Supervisor, Grievances & Appeals manages client ... an appeal is warranted. The Supervisor, Grievances & Appeals works within ... and analytical approach. Responsibilities The Supervisor, Grievances & Appeals..

Description The Compliance (UM) Coordinator 3 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical ..

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..

Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..

Job Information Humana Director, Informatics in Troy Michigan Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..

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 ..

Job Information Humana Supervisor, UM Administration-Remote in Troy Michigan ... in Troy Michigan Description The Supervisor, UM Administration contributes to administration ... administration of utilization management. The Supervisor, UM Administration..

... Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... in Troy Michigan Description The Supervisor, Pre-Authorization Nursing will be managing ... to the appropriate stakeholder. The..

Job Information Humana Senior Technology Implementation Professional (Remote-Nationwide) in Troy Michigan Description The Senior Technology Implementation Professional delivers new technological solutions to meet business needs within a specified scope while aligned ..

Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls from members; calls may include providing reminders of preventive screenings, assists with transferring calls to nurses, and answer general questions ..

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 ..

Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..

Description The Supervisor, Provider Engagement develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working ..

Job Information Humana Supervisor, Grievances & Appeals - Remote, ... in Troy Michigan Description The Supervisor, Grievances & Appeals manages client ... an appeal is warranted. The Supervisor, Grievances &..