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Description The Supervisor, Consumer Service Operations is responsible for the daily activities across multiple service functions area. The Supervisor, Consumer Service Operations works within thorough, prescribed guidelines and procedures; uses independent ..
Job Information Humana Call Quality Professional 2 in San Juan Puerto Rico Description The Call Quality Professional 2 monitors and evaluates the quality of inbound and/or outbound customer service calls, call ..
Job Information Humana Claims Research & Resolution Representative 2 (Bilingual - English/Spanish) (Remote) in San Juan Puerto Rico Description The Bilingual Claims Research and Resolution Representative 2 address customer needs which ..
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, Inbound Contacts represents the company by addressing incoming telephone, digital, or written inquiries. The Supervisor, Inbound Contacts works within thorough, prescribed guidelines and procedures; uses independent judgment requiring ..
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 Clinical Programs Pharmacy Technician 1 (Fully Bilingual English/Spanish. Managed Care/Health insurance exp a MUST) Work at Home - San Juan, PR in San Juan Puerto Rico Description The ..
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 ..
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 Supervisor, Field/Sales Marketing (Supervisor de Promotores) South and West ... Juan Puerto Rico Description The Supervisor, Field/Sales Marketing plans and executes ... based on localized specifications. The..
Job Information Humana RN Manager, Care Management/HMS (FULLY BILINGUAL English/Spanish) San Juan, PR in San Juan Puerto Rico Description The Manager, Care Management leads teams of nurses and behavior health professionals ..
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 Supervisor, Field/Sales Marketing (Supervisor de Promotores) East and West ... Juan Puerto Rico Description The Supervisor, Field/Sales Marketing plans and executes ... based on localized specifications. The..
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 ..
Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
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 ..
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 ..
Job Information Humana Supervisor, Field/Sales Marketing (Supervisor de Promotores) West area of ... Juan Puerto Rico Description The Supervisor, Field/Sales Marketing plans and executes ... based on localized specifications. The..
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 ..