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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 ..
Description The Medical Assistant 2 is the first point of contact for patient care. Responsible for administrative duties in addition to patient care. The Medical Assistant 2 performs varied activities and ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
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 warranted ..
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 Members ..
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 ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Charlotte North Carolina Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience ..
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 ..
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 ..
Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Humana, we want to help people everywhere, ..
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 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 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 to ..
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 ..
Company DescriptionAt National Vision, we believe everyone deserves to see their best to live their best. We help people by making quality eye care and eyewear more affordable and accessible.National Vision, ..
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 wellness ..
u003cbu003eCompany:u003c/bu003e u003cbru003eUS0048 Sysco Charlotte, LLCu003cbru003eu003cbru003eu003cbu003eZip Code:u003c/bu003eu003cbru003e28027u003cbru003eu003cbru003eu003cbu003eMinimum Years of Experience:u003c/bu003eu003cbru003e0-1 Yearsu003cbru003eu003cbru003eu003cbu003eEmployment Type:u003c/bu003eu003cbru003eFull Timeu003cbru003eu003cbru003eu003cbu003eTravel Percentage:u003c/bu003e u003cbru003eUp to 75%u003cbru003eu003cbru003eAre you an experienced Sales Professional, Restaurant Manager, Culinary Manager or Chef looking for career development ..
Job Information Humana Telephonic Behavioral Health Care Manager in Charlotte North Carolina Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve ..
Job Information Humana Telephonic Social Worker, Care Manager in Charlotte North Carolina Description The Telephonic Social Worker, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/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 shine? ..
Job Information Humana Bilingual Quality Auditor in Charlotte North Carolina Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. ..
Description Humana's Neighborhood Centers in North Carolina are looking for a full-time Activity Coordinator who is knowledgeable and passionate about our senior community to join our team. A Neighborhood Center is ..