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... administration of care management. Provides non-clinical support to the assessment and ... established policies. This position provides non-clinical support supervising Care Manger Support ... with other Supervisors, Managers, Directors,..
... and professionals, every day. The Call Center Manager has the responsibility and ... quality operation and management of call center operators and clinical nurse advisors. Maintains highest level .....
... customer calls in a fast-paced call center environment and correspondence regarding third ... of information from the patient, clinical areas, government agencies and insurers ... of incoming calls in..
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 Supervisor, UM Administration-Remote in Bridgeport Connecticut Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; ..
Description The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, ..
Job Information Humana Consumer Experience Lead-Remote in US in Bridgeport Connecticut Description The Consumer Experience Lead ensures optimized interaction between a company and members. The Consumer Experience Lead works on problems ..