Operations Jobs in Maryland

Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..

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

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 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 ..

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

Description The Manager, Specialty Pharmacy Sales leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to Humana Pharmacy for fulfillment. The Manager, Specialty Pharmacy Sales ..

What You Will Do: We're looking for talented professionals to join our team with the UM Baltimore Washington Healthcare Services Group. UM Baltimore Washington was named a Top Workplace in the ..

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 ..

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 Bethesda Maryland Description The Manager, Pharmacy Sales - Specialty leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' ..

Job Information Humana Senior Clinic Emerging Markets Trainer, Merger & Acquisition - Remote in Bethesda Maryland Description The Senior Clinic Emerging Markets Trainer creates and implements processes and programs to ensure ..

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

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 denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if a grievance, appeal, or further request is warranted ..

Description Job Description: The National Solutions Operation is currently soliciting highly qualified linguists to support a DoD customer. Linguist/Screeners will work in a dynamic team environment and are responsible for creating ..

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 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 ..

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

What You Will Do: We're looking for talented professionals to join our team with the UM Baltimore Washington Healthcare Services Group. UM Baltimore Washington was named a Top Workplace in the ..

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, ..