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Description Humana is excited to announce the opening of a brand new contact center in Dublin, Ohio! Humana was awarded a contract to support the Medicaid members in Ohio with its ..
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, 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 ..
... Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... in Cincinnati Ohio Description The Supervisor, Pre-Authorization Nursing will be managing ... to the appropriate stakeholder. The..
Job Information Humana Pharmacy Technician Supervisor - RxClinical Programs in Cincinnati Ohio Description The Supervisor, Rx Clinical Programs Pharmacy Technician supports Pharmacists and patients by executing programs developed to improve overall ..
Job Information Humana Pharmacy Supervisor in Springdale Ohio Description Mail Operations Pharmacy Supervisor works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve basic ..
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, Mail Order/OTC Pharmacy Distribution processes and dispenses or directly supports the processing and dispensing of Traditional and Over The Counter prescription orders to be mailed to patients' homes ..
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 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, Grievances & Appeals - Remote, ... in Cincinnati Ohio Description The Supervisor, Grievances & Appeals manages client ... an appeal is warranted. The Supervisor, Grievances &..
Description The Supervisor, Mail Order/OTC Pharmacy Distribution directly supports the processing and dispensing of Traditional and Over The Counter prescription orders to be mailed to patients' homes and handles complex and/or ..
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, UM Administration-Remote in Cincinnati Ohio Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; ..
Job Information Humana Care Management Supervisor (Prescription Assistance Program)- CenterWell-Remote in Cincinnati Ohio Description The Supervisor, Care Management leads teams of health professionals responsible for assessing and evaluating patient's needs and ..
Job Information Humana Chat Supervisor in Cincinnati Ohio Description The ... in Cincinnati Ohio Description The Supervisor will oversee and support the ... support the Chat Team. The Supervisor, Consumer..
Job Information Humana Supervisor, Credentialing in Cincinnati Ohio 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, 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 ..