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Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Green Bay Wisconsin Description The Quality (Non-Calls) Professional 2 ensures..
Description The Grievances & Appeals Representative 4 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances &..
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 Humana/iCare is seeking a Community Engagement Specialist to join our growing team in the Wisconsin Medicaid Market. The Community Engagement Specialist establishes and cultivates the organization's relationships with key..
Job Information Humana Grievances and Appeals Representative 3 - KY, WI or PR in Green Bay Wisconsin Description Do you enjoy helping those in need? Do you love researching, analyzing..
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..
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 organization that provides..
Description Humana is continuing to grow nationwide! We have several new Bilingual Inbound Contact Representatives openings that will have the pleasure of taking inbound calls from our Medicaid Members and..
Description Humana is seeking a Housing Navigator to join the Wisconsin Medicaid Market (iCare) team. The Housing Navigator manages and monitors housing or re-housing services for members which involves orienting..
Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward resources appropriate for..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works..
Description Responsibilities Humana's Corporate Marketing organization is seeking 2 Bilingual Production Professionals that are fluent in both English and Spanish to join the Humana Translation team supporting Medicaid growth and..
Description . Responsibilities The Process Improvement Lead researches best business practices within and outside the organization to establish benchmark data. This individual collects and analyzes process data to initiate, develop..
Description The Care Management Support Assistant 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..
Job Information Humana Bilingual Medicare Sales Field Agent (English / Vietnamese / Laotian) - Green Bay, WI in Green Bay Wisconsin Description Are you passionate about the Medicare population, looking..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the..
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 Medicaid..
Job Information Humana Bilingual Medicare Sales Field Agent (English / Vietnamese / Laotian) in Green Bay Wisconsin Description Are you passionate about the Medicare population, looking for an opportunity to..
Description The Bilingual Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or..
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..
Job Information Humana Telephonic Behavioral Health Care Manager in Green Bay Wisconsin Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to..
