Associate Jobs

Job Information Humana Call Quality Professional 1 in Dover Delaware Description The Call Quality Professional 1 monitors and evaluates the quality of inbound and/or outbound customer service calls, call documentation and ..

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 ..

Job Information Humana Inbound Contact Rep 2 - English OR Bilingual English and Spanish in Dover Delaware Description The Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, ..

Job Information Humana Bilingual Spanish RN Care Manager--Compact License Required-WAH Nationwide in Dover Delaware Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs ..

Job Information Humana Subrogation Professional 2 Remote/WAH in USA in Dover Delaware Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying ..

Job Information Humana RN Care Manager--Compact License Required-WAH Nationwide in Dover Delaware Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements ..

Job Information Humana Telephonic Behavioral Health Care Manager in Dover Delaware Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or ..

Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH Nationwide in Dover Delaware Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..

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 RN Care Manager--Compact License Required-Spanish Bilingual strongly preferred-WAH Nationwide in Dover Delaware Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..

Job Information Humana Utilization Management Registered Nurse - Remote in Dover Delaware Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..

Job Information Humana Social Media Representative 3 - Remote in US in Dover Delaware Description The Social Media Representative 3 protects company's brand image by monitoring and addressing social media comments ..

Job Information Humana Manager, Utilization Management RN - Remote in Dover Delaware Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical ..

Job Information Humana Bilingual Quality Auditor in Dover Delaware 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 Subrogation Professional 2-WAH in US in Dover Delaware Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all ..

Job Information Humana Social Worker-MSW and licensure required- Telephonic Behavioral Health-SNP- WAH Nationwide in Dover Delaware Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and ..

Job Information Humana Medical Claims Processing Representative 2 in Dover Delaware Description The Medical Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. ..

Job Information Humana Oncology Market Director in Dover Delaware Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to Humana ..

Job Information Humana Manager, Specialty Pharmacy Sales in Dover Delaware Description The Manager, Pharmacy Sales - Specialty leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' ..

Job Information Humana Telephonic Behavioral Health Licensed Social Worker - SNP in Dover Delaware Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' ..

Job Information Humana Utilization Management Administration Coordinator - Remote in Dover Delaware Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and ..

Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Dover Delaware Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..

Job Information Humana Supervisor, Grievances & Appeals - Remote, EST or CST in Dover Delaware Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review ..