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Description Humana is continuing to grow! We have several new Inbound Contact Representatives openings that will have the pleasure of taking inbound calls from our Medicare Members and provide excellent service ..
Rate of Pay: Captioning English to English will be approx $50-$100 per 30 mins of recorded video. Subtitling will commence with the language of translation and job. Job Requirements: Background in ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Bethesda Maryland Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience 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 and ..
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, Pre-Authorization ..
HSCHC Physical Therapist','230000LH','!*!The Physical Therapist administers physical therapy treatments as ordered by a physician and in accordance with accepted practices of physical therapy. He/she is responsible for evaluating, planning and implementing ..
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 shine? ..
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 health ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Washington District Of Columbia Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical ..
Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
Description The Enrollment Representative 3 processes applications from members, enrolls them on company platforms, and transmits enrollment to Center for Medicare and Medicaid Services. Responsibilities Enrollment Representative 3 Reviews reports and ..
Job Information Humana Telephonic Behavioral Health Care Manager in Bethesda Maryland Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or ..
Job Information Humana Bilingual Quality Auditor in Washington District Of Columbia Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of ..
Job Information Humana Telephonic Behavioral Health Care Manager in Washington District Of Columbia Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to ..
Job Information Humana Bilingual Quality Auditor in Bethesda Maryland Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
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 flexibility ..
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 Grievances ..
