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Description The Bilingual Grievances & Appeals Representative 3 manages client concerns by conducting and responding to complaints, grievances and appeals in a consistent fashion, adhering to all regulatory, accreditation and internal ..
Job Information Humana Medicare Sales Field Agent (Bilingual-Chinese, Korean, or Filipino) in Queens New York Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, ..
Description The Enrollment Representative 3 processes applications from members, enrolls them on company platforms, and transmits enrollment to Center for Medicare and Medicaid Services. Responsibilities Data entry of member updates/provider changes ..
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 ..
Description The Care Management Support Assistant contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
Job Information Humana Medicare Sales Field Agent - (Bilingual-Spanish or Hindi) in Queens New York Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, ..
Pashto Interpreter Ad Astra Inc. • Queens Village NY 11427 Minimum Education: Bachelor's Degree Job #2289252381 At Ad Astra, we don’t just think outside of the box … we speak, sign, ..
Description As an Engagement Specialist you will be responsible for contributing to and delivering on Humana's strategy in community based engagement. You will be responsible for effectively promoting our Medicare brand ..
... Enters and maintains pertinent clinical information in various medical management systems. ... guidelines. Experience in leadership. Additional Information While the normal operating hours ... as business needs dictate. Additional..
Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST states Responsibilities The Bilingual Grievances ..
Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Humana, we want to help people everywhere, ..
Job Information Humana Telephonic Behavioral Health Care ... protect member PHI / HIPAA information. Additional information The department prefers candidates that ... working in the field. Additional information As part..
Location: Melville, NY Department: Administrative Posted: 06/02/2023 Location Name: Melville Wage Max: 21.00 Hourly Wage Min: 21.00 Hourly Position Type: Full Time Shift: M - F 9:00am - 5:30pm Our Ideal ..
Description Responsibilities Humana's Corporate Marketing organization is seeking 2 Bilingual Production Professionals that are fluent in both English and Spanish to join the Humana Translation team supporting Medicaid growth and to ..
Dari Interpreter Ad Astra Inc. • Queens Village NY 11427 Minimum Education: Bachelor's Degree Job #2278656529 At Ad Astra, we don’t just think outside of the box … we speak, sign, ..
Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability shine? ..
... English and Spanish (see Additional Information below) Residency within the continental ... Word and MS Teams Additional Information Please be advised, any Humana ... protect member PHI / HIPAA..
Description The Subrogation Professional II identifies, 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 ..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the flexibility ..
Job Information Humana Bilingual Quality Auditor in ... Professional 2 Analyze Grievance/Appeals case information to ensure compliance of all ... Assessment in English/Spanish. See Additional Information on testing. Preferred Qualifications..
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 Medicare Sales Field Agent (Bilingual-Chinese, Korean, or Filipino) in Manhattan New York Description Are you passionate about the Medicare population, looking for an opportunity to work in sales, ..
