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Attorney Specialist The candidate engages in all aspects of client representation for the state's largest executive agency, including research and writing, client counseling and advocacy, and litigation in circuit court and ..
Legal Support Specialist Duties: The candidate provides legal administrative support to agency legal personnel. Reviews incoming legal cases and documents for completeness, accuracy, and compliance and prepares a variety of legal ..
Attorney The candidate will conduct legal research and write legal documents for use in litigation and provide legal assistance to the agency. Review and analyze data and documentation related to the ..
Description The Community Health Worker/Care Management Support Professional 1 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or ..
Job Information Humana Medicare Sales Field Agent - Southwest Arkansas in El Dorado Arkansas Description Are you passionate about the Medicare population, looking for an opportunity to work in sales with ..
Description A Peer Support Specialist (Care Management Support) is a person in recovery from a behavioral health condition (mental health, substance use, or co-occurring) who provides mentoring, guidance, and support services ..
Part-time Attorney Specialist The candidate conducts legal research and writes legal documents for use in litigation and for providing legal assistance to the agency. Reviews and analyzes data and documentation related ..
Description The Claims Research & Resolution Professional 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..
Staff Attorney The candidate will commit to providing high-quality, aggressive advocacy. Participation in community outreach and clinics. Perform other duties as assigned. Conduct litigation in court and at the administrative hearing. ..
Description The Care Management Support Assistant 2 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 ..
Description The Social Determinants of Health (SDOH) Coordinator understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed ..
Description The Provider Relations/Engagement Professional 2 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 ..
Description Humana Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA documentation standards, BH Clinical Practice ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..