Medical Jobs

Job Information Humana Member Care Advocate (Inbound Contact Representative 2) - English OR Bilingual English and Spanish Fluent Positions Available in Dover Delaware Description The Inbound Contacts Representative 2 represents the ..

Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g. CPT)..

Job Information Humana Inbound Contact Rep 2 - English OR Bilingual English and Spanish in Dover Delaware Description The Inbound Contacts Representative 2 represents the company by addressing incoming telephone, digital, ..

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 ..

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 Bilingual Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further ..

... coordination, documentation, and communication of medical services. Enjoy the flexibility of ... Management Behavioral Health Nurse completes medical record reviews from medical records sent from Behavioral Health ... of..

Job Information Humana Social Media Representative 3 - Remote in US in Dover Delaware Description The Social Media Representative 3 protects company's brand image by monitoring and addressing social media comments ..

Job Information Humana Oncology Market Director in Dover Delaware Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to Humana ..

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 facilitate ..

Job Information Humana Supervisor, Grievances & Appeals - Remote, EST or CST in Dover Delaware Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review ..

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 The Bilingual Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further ..

Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Dover Delaware Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..

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 Subrogation Professional 2-WAH in US in Dover Delaware Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all ..

Job Information Humana Subrogation Professional 2 Remote/WAH in USA in Dover Delaware Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying ..

Job Information Humana Manager, Specialty Pharmacy Sales in Dover Delaware Description The Manager, Pharmacy Sales - Specialty leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' ..

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 ..

... OR Provide documentation for a medical or religious exemption consideration. This ... coordinating the intake of necessary medical documents, completing letter templates, and ... Preferred Qualifications Proficient utilizing electronic..

Job Information Humana Manager, Utilization Management RN - Remote in Dover Delaware Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical ..

Job Information Humana Utilization Management Registered Nurse - Remote in Dover Delaware Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..

Job Information Humana Medical Claims Processing Representative 2 in ... in Dover Delaware Description The Medical Claims Processing Representative 2 reviews ... Go365 perks for well-being Responsibilities Medical Claims Processing..