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Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Description The Supervisor, Inbound Contacts represents the company by addressing incoming telephone, digital, or written inquiries. The Supervisor, Inbound Contacts works within thorough, prescribed guidelines and procedures; uses independent judgment requiring ..
... Inbound Contacts Representative 2 (Fully Bilingual in English/Spanish) in San Juan Puerto Rico ... performed for English and or bilingual Spanish during screen and/or interview. Anticipated ... San Juan..
Description Humana is continuing to grow! The CarePlus Health Plan is offering new Inbound Contacts Representative 2 / Call Center Representative positions that will have the pleasure of taking inbound calls ..
Description Humana is continuing to grow! The CarePlus Health Plan is offering new Inbound Contacts Representative 2 positions that will have the pleasure of taking inbound calls from our members and ..
Job Information Humana Bilingual English/Spanish Claims Representative - Remote Puerto Rico *Sign On Bonus* in San Juan Puerto Rico Description The Claims Processing Representative 2 reviews and adjudicates complex or specialty ..
Job Information Humana RN Care Manager, Telephonic Nurse (Bilingual) - Puerto Rico in San Juan Puerto Rico Description This is a Work-At-Home position located in Puerto Rico. You must be fully ..
... RN Manager, Care Management/HMS (FULLY BILINGUAL English/Spanish) in San Juan Puerto Rico ... Word, Excel and PowerPoint Fully Bilingual English/Spanish. Must be able to speak, ... a Language proficiency..
... Marketing organization is seeking 2 Bilingual Production Professionals that are fluent ... fluent in both English and Spanish to join the Humana Translation ... our multicultural members. As the..
Job Information Humana Care Manager, Telephonic Nurse 2 (Fully Bilingual RN with Clinical exp.) - WAH Puerto Rico in San Juan Puerto Rico Description The Care Manager, Telephonic Nurse 2 , ..
Description The Outbound Contacts Representative 3 represents the company by making outbound contacts to members and/or providers regarding a variety of issues. The Outbound Contacts Representative 3 performs advanced administrative/operational/customer support ..
... Office Word, Excel, Outlook. Fully Bilingual English/Spanish . Excellent verbal, listening and ... a Language Proficiency Assessment in English/Spanish. See Additional Information on testing ... PR 00918 Language Proficiency..
Description The Senior Provider Engagement Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted ..
Description The Care Management Support Assistant contributes to administration of care management. Provides telephonic non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
Job Information Humana Care Manager, Telephonic Nurse 2 (Fully Bilingual RN with Clinical exp.) - San Juan, Puerto Rico in San Juan Puerto Rico Description The Care Manager, Telephonic Nurse 2 ..
Job Information Humana Grievances & Appeals Representative 3 (Bilingual, Inbound call center in the Health Care industry, Medicare, Medical Claims, CAS, exp.) - San Juan, PR in San Juan Puerto Rico ..
Description The Product Manager 2 Conceives of, develops, delivers, and manages products for customer use. The Product Manager 2 work assignments are varied and frequently require interpretation and independent determination of ..
... School Diploma or equivalent Fully Bilingual English/Spanish. Must be able to speak, ... a Language Proficiency Assessment in English/Spanish. See Additional Information on testing ... PR only Language Proficiency..
Description The Claims Review Representative 3 makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. The Claims Review Representative 3 performs advanced ..
Description The Claims Research & Resolution Representative 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..
Description Humana is looking to add new associate to the PrePay Audit team in San Juan, PR. This Claims Review Representative 3 opportunity is 100% work-at-home position for the San Juan, ..
Description The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a framework ..
Job Information Humana Manager, Care Management/HMS (RN FULLY BILINGUAL with supervisory and Clinical exp) San Juan, PR in San Juan Puerto Rico Description The Manager, Care Management leads teams of nurses ..
