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Job Information Humana Supervisor, UM Administration-Remote in Portland Maine 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 Portland Maine Description The Consumer Experience Lead ensures optimized interaction between a company and members. The Consumer Experience Lead works on problems ..
... 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 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 ..