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Description The Senior STARS Improvement Professional develops, implements, and manages oversight of the company's Medicare/Medicaid Stars Program. Directs all Stars quality improvement programs and initiatives. The Senior STARS Improvement Professional work ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Job Information Humana Utilization Management Nurse / RN - Work at Home from FL in Tampa Florida Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ..
Job Information Humana Grievances & Appeals Representative 3 (FULLY BILINGUAL English/Spanish) Work at Home Florida ONLY in Port Richey Florida Description The Bilingual Grievances & Appeals Representative 3 manages client denials ..
Job Information Humana RN Utilization Management Nurse 2 (10 hrs. shifts, 4 days per week - Thursday - Sunday) Work at Home FL in Tampa Florida Description The Utilization Management Nurse ..
... Information Humana Data and Reporting Assistant: REMOTE/WORK AT HOME (Anywhere in ... Description The Data and Reporting Assistant 2 generates reports and regular ... scripts. The Data and Reporting..
Job Information Humana Credentialing Assistant 3/Government Business - Work at ... Tampa Florida Description The Credentialing Assistant 3 obtains and reviews documentation ... a health plan. The Credentialing Assistant 3..
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 ..
Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse work assignments are varied ..
Job Information Humana Grievances & Appeals Representative 3 (FULLY BILINGUAL English/Spanish) Work at Home Florida ONLY in New Port Richey Florida Description The Bilingual Grievances & Appeals Representative 3 manages client ..
Description The Supervisor, Rx Clinical Programs Pharmacy Technicians leads a team of Pharmacy Technicians in the Coverage Determination Department. They provide non-clinical support of the policies and procedures to ensure best ..
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 ..