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Description The Supervisor, Health Information Management ensures data ... integrity for claims errors. The Supervisor, Health Information Management works within ... and analytical approach. Responsibilities The Supervisor, Health Information Management..
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 medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..
Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to ..
Job Information Humana Supervisor, Workforce Management in Louisville Kentucky Description Are you ready for a great job? The Supervisor, Workforce Management applies and integrates advanced and predictive analysis, people metrics and ..
Job Information Humana Supervisor, Grievances & Appeals - Remote, ... in Louisville Kentucky Description The Supervisor, Grievances & Appeals manages client ... an appeal is warranted. The Supervisor, Grievances &..
Job Information Humana Supervisor, Care Management Support in Louisville ... in Louisville Kentucky Description The Supervisor, Care Management Support contributes to ... and wellbeing of members. The Supervisor, Care Management..
Description The Supervisor for Clinical Intake leads a team of Inbound Customer Service Representatives supporting the Medicaid segment. This group responds to provider calls and outreach and addresses needs which may ..
... Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... in Louisville Kentucky Description The Supervisor, Pre-Authorization Nursing will be managing ... to the appropriate stakeholder. The..
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 The Supervisor, Consumer Service Operations is responsible for the daily activities of approximately 17-20 Inbound Contacts Representatives who serve as advocates for our Pharmacy members. The team helps to resolve ..
Description The Operations 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 ..
Job Information Humana Supervisor, UM Administration-Remote in Louisville Kentucky Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; ..
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 Care Management Supervisor (Prescription Assistance Program)- CenterWell-Remote in Louisville Kentucky Description The Supervisor, Care Management leads teams of health professionals responsible for assessing and evaluating patient's needs and ..
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 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 Louisville Kentucky 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, 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 ..
Job Information Humana Chat Supervisor in Louisville Kentucky Description The ... in Louisville Kentucky Description The Supervisor will oversee and support the ... support the Chat Team. The Supervisor, Consumer..
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 ..
