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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 Compliance (UM) Professional 2 conducts and summarizes compliance audits. The Compliance (UM) Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses ..
Description The Associate Director, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request ..
Job Information Humana Care Coach 1 - East & West Pasco County - FL in Port Richey Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to ..
Job Information Humana Bilingual RN Care Manager- Conviva- Dunedin, FL in Dunedin Florida Description Responsibilities At Conviva Care Solutions, we want to inspire people to live life their best healthy life. ..
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
Job Information Humana Grievances & Appeals Representative 3 (FULLY BILINGUAL English/Spanish) Work at Home Florida ONLY in New Port Richey Florida Description The Bilingual Grievances & Appeals Representative 3 manages client ..
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 ..
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 ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Tampa Florida Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..
Job Information Humana Bilingual Quality Auditor in Tampa Florida Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
Job Information Humana Care Coach 1 - East & West Pasco County - FL in New Port Richey Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements ..
Job Information Humana Care Coach 1 - West Pasco/West Tampa - FL - Bilingual Preferred in New Port Richey Florida Description The Care Coach 1 assesses and evaluates member's needs and ..
Job Information Humana Grievances & Appeals Representative 3 (FULLY BILINGUAL English/Spanish) Work at Home Florida ONLY in Port Richey Florida Description The Bilingual Grievances & Appeals Representative 3 manages client denials ..
Job Information Humana OB Care Management Support Assistant 2/Medicaid (Bilingual English/Spanish or Creole) Remote FL in Lutz Florida Description The Care Management Support Assistant 2 contributes to administration of care management. ..
Job Information Humana Bilingual English/Spanish Care Coach 1 - West Pasco/West Tampa - FL in New Port Richey Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements ..
Job Information Humana OB Care Management Support Assistant 2/Medicaid (Bilingual English/Spanish or Creole) Remote FL in New Port Richey Florida Description The Care Management Support Assistant 2 contributes to administration of ..