Operations Jobs in Maine

Job Information Humana Inbound Contact Rep 2 - English OR Bilingual English and Spanish in Portland Maine Description The Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, ..

Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which may include complex financial recovery questions, and resolving issues. Records details of inquiries, comments or complaints, transactions or ..

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 ..

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 Subrogation Professional 2 iIdentifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..

Job Information Humana Manager, Specialty Pharmacy Sales in Portland Maine Description The Manager, Pharmacy Sales - Specialty leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' ..

Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which may include complex financial recovery questions, and resolving issues. Records details of inquiries, comments or complaints, transactions or ..

Job Information Humana Supervisor, Grievances & Appeals - Remote, EST or CST in Portland Maine Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review ..

Job Information Humana Social Media Representative 3 - Remote in US in Portland Maine Description The Social Media Representative 3 protects company's brand image by monitoring and addressing social media comments ..

Description The Outbound Contacts Representative 3 represents the company by making outbound contacts to members and/or providers regarding a variety of issues. The Outbound Contacts Representative 3 performs advanced administrative/operational/customer support ..

Job Information Humana Oncology Market Director in Portland Maine Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to Humana ..

Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Humana, we want to help people everywhere, ..

Job Information Humana Senior Clinic Emerging Markets Trainer, Merger & Acquisition - Remote in Portland Maine Description The Senior Clinic Emerging Markets Trainer creates and implements processes and programs to ensure ..

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 ..