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Technical Claims supervisor Major Case Unit Construction Duties The candidate will deliver industry-leading technical claim handling management claim outcomes business support and customer service Make claim services an Arch competitive ..
Description The Supervisor, Rx Clinical Programs leads a team dedicated to improve overall health outcomes with a focus on prescription drugs. This Supervisor leads a team of Resource Specialists who are ..
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 Senior Vehicle Fleet Management Professional operates and maintains motor vehicles and equipment. Schedules and dispatches the organization's vehicles and drivers. The Senior Vehicle Fleet Management Professional work assignments involve ..
... Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... in Bridgeport Connecticut Description The Supervisor, Pre-Authorization Nursing will be managing ... to the appropriate stakeholder. The..
Technical Claims Supervisor - Major Case Unit Construction Duties: The candidate will deliver industry-leading technical claim handling/management, claim outcomes, business support, and customer service. Make claim services an Arch competitive advantage. ..
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 The Supervisor, Quality Engineering carries out procedures to ensure that all information systems products and services meet organization standards and end-user requirements. The Supervisor, Quality Engineering works within thorough, prescribed ..
Job Information Humana Supervisor, Credentialing in Bridgeport Connecticut Description Responsibilities The Supervisor, Credentialing Operations is responsible for supervising activities associated with certification and recertification of providers in the TRICARE East Region. ..
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 ..
Job Status: Full-Time Warby Parker is on the lookout for a self-motivated Sales Supervisor to help create nothing-short-of-amazing experiences for our customers. Across all of our retail locations in the U.S. ..
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 Since 2009, Humana's Your Home Advantage (YHA) has been dedicated to improving Medicare members' well-being by linking the doctor's office and the member's home. We schedule and complete In-Home Health ..
Job Description An Operations Supervisor is a key leader supporting the CVS Store Management team in planning and driving store execution and performance while building consumer loyalty to CVS/pharmacy through a ..
... denials and rejections to the supervisor for further review. Performs a ... changes to federal, state, and insurance regulations as well as maintains ... other duties as requested by..
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 ..
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 ..
Job Information Humana Supervisor, UM Administration-Remote in Bridgeport Connecticut Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; ..
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 ..
Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..
Job Information Humana Supervisor, Grievances & Appeals - Remote, ... in Bridgeport Connecticut Description The Supervisor, Grievances & Appeals manages client ... an appeal is warranted. The Supervisor, Grievances &..
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 ..