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Description The Manager, Vendor Management works as liaison between vendors and organization. The Manager, Vendor Management works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; ..
Description Imagine using your workday to make a meaningful difference in people's lives. Envision working in an environment where you are not only encouraged to create a positive change but also ..
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 Louisville Kentucky Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; ..
Description The Manager, Inbound Contacts represents the company by addressing incoming telephone, digital, or written inquiries. The Manager, Inbound Contacts works within specific guidelines and procedures; applies advanced technical knowledge to ..
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 ..
Description The Call Quality Representative 3 monitors and ... and performance measures. Responsibilities The Call Quality Representative 3 provides information ... more years of experience with call quality monitoring and/or..
Job Information Humana Consumer Experience Lead-Remote in US in Louisville Kentucky Description The Consumer Experience Lead ensures optimized interaction between a company and members. The Consumer Experience Lead works on problems ..
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, ..
... 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..
Description The Supervisor for Clinical Intake leads a team of Inbound Customer Service Representatives supporting the Medicaid segment. This group responds to provider calls and outreach and addresses needs which may ..
... 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 Care Management Support Assistant 2 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 ..
Job Information Humana Consumer Experience Lead-Remote in US in Lexington Kentucky Description The Consumer Experience Lead ensures optimized interaction between a company and members. The Consumer Experience Lead works on problems ..
Job Information Humana Call Center Operations Manager in Louisville Kentucky ... strong operational leader with progressive call center experience for our Inbound Contact ... experience for our Inbound Contact call..
... The Supervisor, UM Administration provides non-clinical support for the policies and ... developing phone associates in the call center. Location: Remote USA with the ... At least 1 year..