EmploymentCrossing Jobs

Care Delivery Tele Sales Agent- Work at Home Nationwide (bilingual English/Spanish preferred) - USA-AR-Rogers

Tue, 08 Aug 2023 00:00:00 CDT

Description The Care Delivery Tele Sales Agent conducts selling activities related to inbound and outbound calls within a care delivery setting. The Care Delivery Tele Sales Agent work assignments ar...

Inside Sales SWAT Executive - USA-AR-Rogers

Mon, 26 Jun 2023 00:00:00 CDT

Description Get your foot in the door with this Entry-Level Training Ground Inside Sales Executive position! Enjoy a fast paced dynamic environment that offers a variety of responsibilities and assig...

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - USA-AR-Rogers

Mon, 26 Jun 2023 00:00:00 CDT

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

Grievance & Appeals Representative 3 - USA-AR-Rogers

Mon, 26 Jun 2023 00:00:00 CDT

Description The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appea...

Grievances and Appeals Representative 4 - Work at Home/Remote CST/EST - USA-AR-Rogers

Wed, 30 Aug 2023 00:00:00 CDT

Description Responsibilities The Grievances & Appeals Representative 4 assists members, via phone or face to face, further/support quality related goals. Reviews the level 1 appeals cases and ensure...

Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home - USA-AR-Rogers

Sun, 13 Aug 2023 00:00:00 CDT

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate...

Bilingual (Spanish) Inbound Call Center Representative - Work at Home (Eastern and Central Time Zones) - USA-AR-Rogers

Wed, 30 Aug 2023 00:00:00 CDT

Description Humana is continuing to grow especially within Medicaid! We have several new Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida M...

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-AR-Rogers

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Rogers Arkansas Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to supp...

Bilingual Medicaid Inbound Call Center Rep - USA-AR-Rogers

Sat, 22 Apr 2023 00:00:00 CDT

Description Humana is continuing to grow nationwide! We have 28 new Bilingual Medicaid Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida Med...

Broker Relationship Executive - USA-AR-Rogers

Thu, 20 Apr 2023 00:00:00 CDT

Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability...

Stars Improvement Professional - USA-AR-Rogers

Thu, 20 Apr 2023 00:00:00 CDT

Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direc...

Telephonic Behavioral Health Care Manager - USA-AR-Rogers

Thu, 04 May 2023 00:00:00 CDT

Job Information Humana Telephonic Behavioral Health Care Manager in Rogers Arkansas Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs a...

Process Improvement Lead - Provider Payment Integrity - USA-AR-Rogers

Mon, 01 May 2023 00:00:00 CDT

Description . Responsibilities The Process Improvement Lead researches best business practices within and outside the organization to establish benchmark data. This individual collects and analyzes...

Subrogation Professional II - USA-AR-Rogers

Tue, 02 May 2023 00:00:00 CDT

Description The Subrogation Professional II identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an orga...

RN, Utilization Management - Behavioral Health - USA-AR-Rogers

Fri, 23 Jun 2023 00:00:00 CDT

Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation...

Agency Broker Executive - Life Insurance - USA-AR-Rogers

Fri, 25 Aug 2023 00:00:00 CDT

Description The Agency Broker Executive - Life Insurance places outbound calls based on leads, and completes the sales of products and/or services. The Agency Broker Executive work assignments are va...

Licensed Virtual Inside Sales Agent (Bilingual) - USA-AR-Rogers

Thu, 11 May 2023 00:00:00 CDT

Job Information Humana Licensed Virtual Inside Sales Agent (Bilingual) in Rogers Arkansas Description Humana's Inside Sales Agents are our member's partners in their healthcare journey. As a customer-...

Utilization Management Nurse (LPN) - USA-AR-Rogers

Sat, 10 Jun 2023 00:00:00 CDT

Description The Utilization Management Nurse 1 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

Inbound Contact Representative 2 - CarePlus - USA-AR-Rogers

Wed, 21 Jun 2023 00:00:00 CDT

Description Humana is continuing to grow! The CarePlus Health Plan is offering new Inbound Contacts Representative 2 positions that will have the pleasure of taking inbound calls from our members and...

Plaintiffs Attorney - USA-AR-Springdale

Mon, 11 Mar 2024 00:00:00 CDT

Job Overview: A law firm is seeking a skilled plaintiffs attorney to join its personal injury practice in Springdale, AR. The ideal candidate will be bilingual in Spanish, with a preference for ind...