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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..
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..
Job Location CT - Bridgeport AIC - Bridgeport, CT Position Type Full Time Education Level Bachelors Degree Travel Percentage License Required Job Shift Various Shift Hours Bilingual Case Manager, AIC..
Scope of Responsibility Team and manage projects involving cross border inbound and outbound investment projects, mergers and acquisitions, client and company operational and commercial issues. Utilize knowledge and experience of..
At least four 4-12 years of international transactional experience at US/UK law firm or in-house position. Availability to travel within China. Experience representing international clients and leading transactions in complex..
Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST states Responsibilities The Bilingual..
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..
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..
we are looking for experienced Video Remote Interpreters and skilled applicants to provide on-site consecutive or Simultaneous interpreting services in various locations and environments Nationwide; in your City or Town..
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..
Location: Melville, NY Department: Administrative Posted: 06/02/2023 Location Name: Melville Wage Max: 21.00 Hourly Wage Min: 21.00 Hourly Position Type: Full Time Shift: M - F 9:00am - 5:30pm Our..
Description As an Engagement Specialist you will be responsible for contributing to and delivering on Humana's strategy in community based engagement. You will be responsible for effectively promoting our Medicare..
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,..
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..
Job Information Humana Bilingual Quality Auditor in Bridgeport Connecticut Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality...
Dari Interpreter Ad Astra Inc. • Queens Village NY 11427 Minimum Education: Bachelor's Degree Job #2278656529 At Ad Astra, we don’t just think outside of the box … we speak,..
Job Information Humana Medicare Sales Field Agent (Bilingual-Chinese, Korean, or Filipino) in Manhattan New York Description Are you passionate about the Medicare population, looking for an opportunity to work in..
Job Information Humana Telephonic Behavioral Health Care Manager in Bridgeport Connecticut Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve..
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..
Pashto Interpreter Ad Astra Inc. • Queens Village NY 11427 Minimum Education: Bachelor's Degree Job #2289252381 At Ad Astra, we don’t just think outside of the box … we speak,..