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... in Portland Maine Description The Care Manager, Telephonic Behavioral Health 2 ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The..
Description The Behavioral Health Care Coordinator, in a telephonic environment, ... with resources appropriate for the care and well being of members. ... of members. The Behavioral Health Care Coordinator’s..
Description MUST BE BILINGUAL: CHINESE/ENGLISH (written and spoken proficiency)MUST ... HAVE WA RN LICENSE The Care Manager, Telephonic Nurse 2 , ... with resources appropriate for the care and well..
Description The Care Management Support Assistant 2 contributes ... 2 contributes to administration of care management. Provides non-clinical support to ... with resources appropriate for the care and wellbeing of..
Description The Bilingual Grievances & Appeals Representative 3 ... resolve non-routine business-related concerns. Responsibilities Bilingual Grievances & Appeal Representative 3 ... & Appeal Representative 3 Reviewing customer complaints Outreach to..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
... nationwide! We have 28 new Bilingual Medicaid Inbound Contact Representative openings ... grow across the USA!! A Bilingual Medicaid Inbound Contacts Representative 2 ... and delivering on our Human..
Description Job Description Summary Care Management Support Specialists contribute to ... contribute to the administration of care management. The CMSS provides non-clinical ... with resources appropriate for the care and..
Description Care Management Support Specialists contribute to ... contribute to the administration of care management. The CMSS provides non-clinical ... with resources appropriate for the care and wellbeing of members...
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... Inbound Contact Representative 2 addresses customer needs that may include complex ... Qualifications 2 years or more..
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 ..
Job Information Humana Oncology Market Director in Portland Maine Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to Humana ..
... Rep 2 - English OR Bilingual English and Spanish in Portland ... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... as a member advocate, addressing..
Description The Care Delivery Tele Sales Agent conducts ... and outbound calls within a care delivery setting. The Care Delivery Tele Sales Agent work ... to provide guidance and stellar..
... Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within ... Work Environment: This is a customer-centric member advocate environment focused on ... of the continuum of their..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... in developing a robust integrated care delivery model that integrates insurance ... insurance with high value health..
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 ..
... new Inbound Contact Representative 2 (Bilingual-Spanish) positions that will have the ... Inbound Contact Representative 2 addresses customer needs that may include complex ... Qualifications 2 years or more..
