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Description The Supervisor, Consumer Service Operations is responsible for the daily ... area. The Supervisor, Consumer Service Operations works within thorough, prescribed guidelines ... Responsibilities The Supervisor, Consumer Service Operations..
Job Information Humana Consumer Service Operations Representative 2 (Data Entry/Call Center) ... Rico Description The Consumer Service Operations Representative 2 is responsible for ... functions area. The Consumer Service Operations..
Description Humana is looking to add new associate to the PrePay Audit team in San Juan, PR. This Claims Review Representative 3 opportunity is 100% work-at-home position for the San Juan, ..
Job Information Humana Supervisor Quality Assurance (Managed Care, BILINGUAL English/Spanish) Hybrid - San Juan, PR in San Juan Puerto Rico Description The Supervisor, Quality Assurance develops and implements programs to establish ..
Job Information Humana Supervisor, Care Management Support/FULLY BILLINGUAL (Healthcare/ Analytical Support Mgmt.) San Juan, PR in San Juan Puerto Rico Description The Supervisor, Care Management Support contributes to administration of care ..
Job Information Humana Bilingual English/Spanish Claims Representative - Remote Puerto Rico *Sign On Bonus* in San Juan Puerto Rico Description The Claims Processing Representative 2 reviews and adjudicates complex or specialty ..
Job Information Humana Associate Director, Provider Payment Integrity | Prepay Operations in San Juan Puerto Rico Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data ..
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 Supervisor, Pharmacy Coordination of Benefits initiates contact with other insurance companies to gather coordination of benefits (COB) data. The Supervisor, Pharmacy Coordination of Benefits works within thorough, prescribed guidelines ..
Job Information Humana Enrollment Representative 3 - Remote Puerto Rico *Sign on Bonus* in San Juan Puerto Rico Description The Enrollment Representative 3 processes applications from members, enrolls them on company ..
Job Information Humana Supervisor, Field/Sales Marketing (Supervisor de Promotores) East and West areas of Puerto Rico in San Juan Puerto Rico Description The Supervisor, Field/Sales Marketing plans and executes marketing campaigns ..
Job Information Humana Supervisor, Field/Sales Marketing (Supervisor de Promotores) West area of Puerto Rico in San Juan Puerto Rico Description The Supervisor, Field/Sales Marketing plans and executes marketing campaigns to generate ..
Job Information Humana Bilingual English/Spanish Database Administrator - Remote Puerto Rico *Sign-On Bonus* in San Juan Puerto Rico Description The Database Administrator selects, implements, and loads the system applications that administer ..
Job Information Humana Claims Review Representative - Remote Puerto Rico - *Sign On Bonus* in San Juan Puerto Rico Description This will be a great opportunity to showcase your ability to ..
Job Information Humana Bilingual English/Spanish Claims Review Representative - Remote Puerto Rico - *Sign On Bonus* in San Juan Puerto Rico Description This will be a great opportunity to showcase your ..
Job Information Humana RN Manager, Care Management/HMS (FULLY BILINGUAL English/Spanish) in San Juan Puerto Rico Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care ..
Job Information Humana Bilingual English/Spanish Enrollment Representative 3 - Remote Puerto Rico *Sign on Bonus* in San Juan Puerto Rico Description The Enrollment Representative 3 processes applications from members, enrolls them ..
Job Information Humana Supervisor, Field/Sales Marketing (Supervisor de Promotores) South and West areas of Puerto Rico in San Juan Puerto Rico Description The Supervisor, Field/Sales Marketing plans and executes marketing campaigns ..
Description The Claims Research & Resolution Representative 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..
Job Information Humana Manager, Care Management/HMS (RN FULLY BILINGUAL with supervisory and Clinical exp) San Juan, PR in San Juan Puerto Rico Description The Manager, Care Management leads teams of nurses ..
Job Information Humana Database Administrator - Remote Puerto Rico *Sign-On Bonus* in San Juan Puerto Rico Description The Database Administrator selects, implements, and loads the system applications that administer benefit plan ..