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Job Information Humana Call Quality Professional 2 in Louisville Kentucky Description The Call Quality Professional 2 monitors and evaluates the quality of inbound and/or outbound customer service calls, call documentation, processes ..
Description The Referral Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Typically works on semi-routine assignments. Responsibilities Scheduling: Ensures that requests for homecare service are filled promptly , ..
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 Bilingual Sales Support Supervisor works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve basic problems; collaborates with management and top professionals/specialists ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
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 ..
BASIC RESPONSIBILITIES:Assist in the handling of the accident and illness program. Conduct hazard and risk analyses. Ensure that all occupational safety and health tasks are completed as scheduled and required.Assist in ..
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 ..
ESSENTIAL DUTIES & RESPONSIBILITIES:Supervises the day-to-day activities of processing operations and personnel to meet established processing, quality control and animal welfare standards.Ensures activities meet short-term goals established for processing continuity and ..
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 ..
KYmICeGOMl-320994-en_US Logistics at full potential. At GXO, we're constantly looking for talented individuals at all levels who can deliver the caliber of service our company requires. You know that a positive ..
Production SupervisorThis position is responsible for assuring all procedures are followed in achieving the highest level or productivity in the most cost efficient manner possible while still maintaining the specification of ..
Production Supervisor - Mayfield, KYThis position is responsible for assuring all procedures are followed in achieving the highest level or productivity in the most cost efficient manner possible while still maintaining ..
Job Information Humana Supervisor, Grievances & Appeals - Remote, ... in Louisville Kentucky Description The Supervisor, Grievances & Appeals manages client ... an appeal is warranted. The Supervisor, Grievances &..
HR Supervisoru00A0GENERAL SUMMARY:This position will supervise and coordinate activities of professional level and administrative support employees engaged in employee relations, compensation, benefits, training, employment, labor relations, affirmative action and employment equity ..
Job Information Humana Claims Research & Resolution Representative 2 (Bilingual - English/Spanish) (Remote) in Louisville Kentucky Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which may include ..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
