Support Specialist Jobs in Riverton

Description The UM Specialist contributes to administration of utilization ... of utilization management. The UM Specialist performs varied activities and moderately ... activities and moderately complex administrative/operational/customer support assignments. Performs..

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..

Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..

Coverage:HospitalistDates:March/April StartCredentialing takes 30-45 daysWork Schedule: 10 shifts per month needed days 7a-7p then call 7p-7a: phone triage. 1-3 calls per night. Physician sometimes will return to the hospital specifically with ..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Riverton Wyoming Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..

Description The Claims Research & Resolution Representative 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..

... aspects of the production environment support strategy, Operational Excellence strategy and ... driving our strategic direction in support technologies, monitoring, policy, and process. ... process strategy for the production..

... facility The Supervisor, Care Management Support will lead a team of ... a team of 16-22 care support professionals and contributes to administration ... of care management. Provides non-clinical..

Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..

Locum Hospitalist needed for Day shift and call at night.-Coverage: Hospitalist-Dates: March/April Start-Credentialing takes 30-45 days-License: Prefer WY license. Will review candidates who -need WY license-Work Schedule: 10 shifts per month ..

Description The Value-Based Programs Strategy Lead supports the creation of complex value-based programs. The Value-Based Programs Lead provides strategic advice and guidance to functional team(s) related to value-based vendor and specialty ..

... Professional is a key business support function for the Humana IT ... financial thinking in order to support informed business decisions. Success in ... in alignment with the budget,..

Description The Procurement Specialist ensures that the department's materials ... are looking for a Procurement Specialist to join our team and ... organization's procurement needs. Responsibilities Procurement Specialist responsibilities include..

Description Role is open to US Remote This role will include managing a team of DevSecOps engineers, architects, testers, developers, and specialists who build and support our application security orchestration platform. ..

Job Information Humana Lead Technology Leadership Professional in Riverton Wyoming Description The Lead Technology Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Lead ..

... Certified Diabetes Care and Education Specialist-Remote-US in Riverton Wyoming Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..

Description The Supervisor, Care Management Support contributes to administration of care ... of care management. Provides non-clinical support to the assessment and evaluation ... members. The Supervisor, Care Management Support..

Description The Claims Research & Resolution Specialist 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..

... Job Description Summary Care Management Support Specialists contribute to the administration ... management. The CMSS provides non-clinical support to the assessment and evaluation ... and wellbeing of members. The..

Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..

Description Actively manages stakeholder partnerships and mitigates risks. When managing programs, oversees the interdependencies and integration of interrelated projects, and sets strategies and leads program execution to deliver longer term business ..

Description Care Management Support Specialists contribute to the administration ... management. The CMSS provides non-clinical support to the assessment and evaluation ... and wellbeing of members. The Support Specialist performs..

Job Information Humana Senior Professional, Sales and Marketing Support - Salt Lake City, UT (including MT, WY & ID territory) in Riverton Wyoming Description Are you passionate about contributing to the ..