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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..
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GENERAL SUMMARY: This position is responsible for assuring all procedures are followed in achieving the highest level or productivity in the most cost efficient manner possible while still maintaining the..
Wholesale Product Specialist Bilingual Spanish - ( 230002UZ ) Description Why Sherwin-Williams Here, we believe there’s not one path to success, we believe in careers that grow with you. Whoever..
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..
Wholesale Product Specialist Bilingual Spanish - ( 230002CU ) Description Why Sherwin-Williams Here, we believe there’s not one path to success, we believe in careers that grow with you. Whoever..
Wholesale Product Specialist Bilingual Spanish - ( 230002UU ) Description Why Sherwin-Williams Here, we believe there’s not one path to success, we believe in careers that grow with you. Whoever..
Location: Regina, SK Closing date: June 11th 2023 Language(s) required: English, French Worker Type: permanent Communication strategy and project management expertise rewarded Join a team of professional communicators and help..
Description The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior..
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,..
Wholesale Product Specialist Bilingual Spanish - ( 230002US ) Description Why Sherwin-Williams Here, we believe there’s not one path to success, we believe in careers that grow with you. Whoever..
Job Information Humana Bilingual Quality Auditor in Glen Allen Virginia Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of..
***The location for this position is virtual/remote*** Our Operations function oversees the day-to-day functions of our managed hotel portfolio, ensuring that our guests receive an exceptional hospitality experience and that..
About this role: Wells Fargo is seeking a Teller in Consumer and Small Business Banking, as part of Branch Banking. Learn more about our career areas and lines of business..
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 . 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..
General Services Corporation (GSC) is looking for a dynamic and energetic Bilingual Leasing Consultant for our apartment communities in the Richmond, VA area! Job Responsibilities: Conduct any and all communication..
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 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..
Description The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Representative 3 performs advanced administrative/operational/customer support duties that..
Job Information Humana Telephonic Behavioral Health Care Manager in Glen Allen Virginia Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to..
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..