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Description The Specialty Retention Executive - Employer Group 2-99 is responsible for growing membership within existing accounts and for directly managing business relationships with client accounts. The Retention Executive - Employer ..
Description Job Summary 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 ..
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 ..
Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of behavioral health services and/or benefit administration determinations. The Utilization Management Behavioral ..
Job Information Humana Quality (non-calls) Professional 2/ Quality Audit/G&A (FULLY BILINGUAL English/Spanish) Remote, anywhere with Easter Time Zone in Troy Michigan Description The Quality (Non-Calls) Professional 2 ensures that products meet ..
Description The Grievances & Appeals Representative 4 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
Job Information Humana Grievances & Appeals Representative 4 (FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Troy Michigan Description The Grievances & Appeals Representative 4 manages client medical denials ..
Job Information Humana Bilingual Quality Auditor in Troy Michigan Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability shine? ..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Troy Michigan Description The Quality (Non-Calls) Professional 2 ensures that products ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Description The Quality (Non-Calls) Professional 2 ensures that products meet certain standards of quality. The Quality (Non-Calls) Professional 2 work assignments are varied and frequently require interpretation and independent determination of ..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Troy Michigan Description The Quality (Non-Calls) Professional 2 ensures that products meet specific Centers ..
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 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 ..
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 Get your foot in the door with this Entry-Level Training Ground Inside Sales Executive position! Enjoy a fast paced dynamic environment that offers a variety of responsibilities and assignments centered ..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the flexibility ..
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 ..
