THE LARGEST COLLECTION OF JOBS ON EARTH
Supports PDF, DOC, DOCX, TXT, XLS, WPD, HTM, HTML files up to 5 MB
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, 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, 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 ..
Job Information Humana Supervisor, Credentialing in Pittsburgh Pennsylvania 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 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 Pittsburgh Pennsylvania 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, 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 ..
Description The Supervisor, Desktop/End User Support maintains, repairs, ... service and end-user training. The Supervisor, Desktop/End User Support works on ... from moderate to substantial. The Supervisor is responsible for..
Job Information Humana Supervisor, Workforce Management in Pittsburgh Pennsylvania Description Are you ready for a great job? The Supervisor, Workforce Management applies and integrates advanced and predictive analysis, people metrics and ..
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, 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 ..
... to DaVita patients about health insurance and the implications of different ... and the implications of different insurance options. This position helps patients ... position helps patients understand their..
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 ..
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, 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, Grievances & Appeals - Remote, ... in Pittsburgh Pennsylvania Description The Supervisor, Grievances & Appeals manages client ... an appeal is warranted. The Supervisor, Grievances &..
... Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... in Pittsburgh Pennsylvania Description The Supervisor, Pre-Authorization Nursing will be managing ... to the appropriate stakeholder. The..
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 ..
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 ..
Job Information Humana Billing Supervisor in Philadelphia Pennsylvania Description The Supervisor, Accounts Receivable/Accounts Payable prepares, records, verifies, analyzes and reports accounts payable/receivable transactions. The Supervisor, Accounts Receivable/Accounts Payable works within thorough, ..