Operations 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 Imagine putting your career into overdrive, interacting with C-suite executives who mentor and collaborate with you. Imagine learning about and influencing systems that affect population health at a national level. ..

Description Humana is looking for an experienced Counselor that truly enjoys helping those in need within a call center environment. Our Counselor's provide ongoing and crisis intervention counseling focused on the ..

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 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 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 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 ..

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 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 ..

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, 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 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, ..

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 ..

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 ..

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 ..

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 ..