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... Advice Line is an inbound call center that provides Humana members with ... trained to act as a clinical concierge. The NAL Telephonic Nurse ... least 3 -5 years..
Job Information Humana Supervisor, UM Administration-Remote in Indianapolis Indiana Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; ..
Job Information Humana Consumer Experience Lead-Remote in US in Indianapolis Indiana Description The Consumer Experience Lead ensures optimized interaction between a company and members. The Consumer Experience Lead works on problems ..
Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to ..
... a comprehensive analytic review of clinical documentation to determine if an ... trained skillsets and/or partnerships with clinical and other Humana parties. The ... a comprehensive analytic review of..
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, ..
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 ..