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... best and most appropriate treatment, care or services for members. Coordinates ... other parties to facilitate optimal care and treatment. Understands department, segment, ... Surgery, Heart, Lung or Critical..
Description The Care Management Support Assistant 3 contributes ... 3 contributes to administration of care management. Provides non-clinical support to ... with resources appropriate for the care and wellbeing of..
... & Appeals Representative 3 (Fully Bilingual English/Spanish) San Juan, PR in ... Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... School Diploma or equivalent Fully..
Description The Quality Assurance Technician develops and implements programs to establish and maintain quality standards of existing products and services, as well as developing programs to focus employees on the quality ..
... 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..
Description The Business Support Coordinator 2 follows established procedures and guidelines to provide timely and effective clerical support to an office, business unit, department, or other organization group. The Business Support ..
... / Call Center Representative addresses customer needs that may include complex ... you need for success! Fully Bilingual English/Spanish 2 years or more ... English/Spanish 2 years or more..
Description The Care Management Support Assistant contributes to ... Assistant contributes to administration of care management. Provides telephonic non-clinical support ... with resources appropriate for the care and wellbeing of..
... Grievances & Appeals Representative 3 (Bilingual, Inbound call center in the ... call center in the Health Care industry, Medicare, Medical Claims, CAS, ... Appeals Representative 3 performs advanced..
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...
Job Information Humana Care Management Support Assistant 3 (Fully ... Management Support Assistant 3 (Fully Bilingual English/Spanish) San Juan, PR in ... Juan Puerto Rico Description The Care Management Support..
... Inbound Contacts Representative 2 (Fully Bilingual in English/Spanish) in San Juan ... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... as a member advocate, addressing..
... Qualifications 2 years or more customer service experience with heavy or ... Demonstrated experience with providing strong customer service and attention to details ... another department. Language Fluency Requirement..
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 ..
... delivers, and manages products for customer use. The Product Manager 2 ... developing products to meet specific customer needs and achieve specific cost ... efficacy of products and uses..
... Grievances & Appeals Representative 3 (Bilingual English/Spanish) San Juan, PR in ... Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... High School Diploma or equivalent..
... Programs Pharmacy Technician 1 (Fully Bilingual English/Spanish. Managed Care/Health insurance exp a MUST) Work ... Pharmacy Technician 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on ... best and..