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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 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 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 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? ..

Addison Group’s client is seeking a Membership Services Coordinator to join their team in Washington, DC! This is a contract-to-hire role. Job Description: Respond to customer inquiries via phone and email ..

Job Information Humana Social Media Representative 3 - Remote in US in Washington District Of Columbia Description The Social Media Representative 3 protects company's brand image by monitoring and addressing social ..

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 ..

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 ..

(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) Adventist HealthCare seeks to hire a Utility Aide who will ..

Job Information Humana Grievances & Appeals Representative 4 (FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Washington District Of Columbia Description The Grievances & Appeals Representative 4 manages client ..

United Healthcare Community and State's Sales Markets are key drivers of the organization's overall growth. As a Community Outreach Representative, you'll utilize innovative strategies and programs to ensure access to health ..

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 ..

We are looking for a skilled Data Scientist with expertise in linguistics and data modeling to join our team. The ideal candidate will have a strong background in statistics, programming, and ..

Job Information Humana Bilingual Quality Auditor in Washington District Of Columbia Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of ..

Job Information Humana Quality (non-calls) Professional 2/ Quality Audit/G&A (FULLY BILINGUAL English/Spanish) Remote, anywhere with Easter Time Zone in Washington District Of Columbia Description The Quality (Non-Calls) Professional 2 ensures that ..

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? ..

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 ..

(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) Experienced bilingual Spanish Litigation paralegal sought for large downtown DC ..

Job Description Mission: In the Senate Community tradition of service, we strive to improve the financial wellness of our members throughout all stages of life by integrating sustainability and security into ..

Professional, Web Content & French CA Translations (Remote) Date: May 31, 2022 Location: Remote, US Company: Under Armour Under Armour has one mission: to make you better. We have a commitment ..

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 description We are looking for Pharmacy Technicians who are certified or registered in the state of Maryland to work for a large health system. Candidates must be easily commutable around ..