Operations Jobs in Troy

Job Information Humana Inbound Contact Rep 2 - English OR Bilingual English and Spanish in Troy Michigan 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, 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 Compact License-Utilization Management Behavioral Health Professional 2--Remote, MI, NV, CA, OH in Troy Michigan Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills ..

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 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 Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..

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

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 Senior Clinic Emerging Markets Trainer, Merger & Acquisition - Remote in Troy Michigan Description The Senior Clinic Emerging Markets Trainer creates and implements processes and programs to ensure ..

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

Seco Tools is seeking an Information Technology Professional to provide IT support to Seco Tools end-users while being part of the local IT infrastructure team for the Americas. You will work ..

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

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 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 ..

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