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Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which may include complex financial recovery questions, and resolving issues. Records details of inquiries, comments or complaints, transactions or ..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..
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 ..
Job Information Humana RN Care Manager--Compact License Required-WAH Nationwide in Green Bay Wisconsin Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and ..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual strongly preferred-WAH Nationwide in Green Bay Wisconsin Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates ..
Description . Responsibilities The Process Improvement Lead researches best business practices within and outside the organization to establish benchmark data. This individual collects and analyzes process data to initiate, develop and ..
Job Information Humana Utilization Management Administration Coordinator - Remote in Green Bay Wisconsin Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities ..
**What You Will Do**Life. Career. Build it Together Here.At Loweu2019s, weu2019ve always been more than a home improvement store. For thousands of Loweu2019s associates, weu2019re the beginning of all types of ..
Administrative Assistant- Part Time Our client is looking for an energetic Administrative Assistant to join their team on a temp to hire basis. This is a great career step to build ..
Job Information Humana Bilingual Spanish RN Care Manager--Compact License Required-WAH Nationwide in Green Bay Wisconsin Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
Job Information Humana RN Care Manager--Compact License Required-Spanish Bilingual a plus-WAH Nationwide in Green Bay Wisconsin Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates ..
Job Information Humana Supervisor, Grievances & Appeals - Remote, EST or CST in Green Bay Wisconsin Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic ..
Job Information Humana Subrogation Professional 2-WAH in US in Green Bay Wisconsin Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying ..
Description The Subrogation Professional 2 iIdentifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Green Bay Wisconsin Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience ..
Description Responsibilities The Payment Integrity Professional 2 contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. This position ..
Job Information Humana Senior Clinic Emerging Markets Trainer, Merger & Acquisition - Remote in Green Bay Wisconsin Description The Senior Clinic Emerging Markets Trainer creates and implements processes and programs to ..
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 Subrogation Professional 2 Remote/WAH in USA in Green Bay Wisconsin Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for ..