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Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..
Description The Senior Power BI Engineer on the MarketPoint Sales Reporting team solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers via ..
Description The Claims Research & Resolution Specialist 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..
... have several new Inbound Contact Representatives openings that will have the ... Medicare Members and provide excellent service and support. These roles will ... Inbound Contact Representative 2 addresses..
Description Responsibilities The Grievances & Appeals Representative 4 assists members, via phone or face to face, further/support quality related goals. Reviews the level 1 appeals cases and ensures that information is ..
Description Responsibilities This position can be in office or work at home in EST or CST and will provide coverage for eastern time zone hours. Weekend work required. Schedules will be ..
Job Information Humana Senior Learning Design Professional: REMOTE/WORK AT HOME (Anywhere in the US) in Springfield Missouri Description The Senior Learning Design Professional analyzes content, organizes content, designs solutions, and writes ..
... leads advanced and highly specialized administrative/operational/customer support duties that require independent ... contracts. Manages provider audits, provider service and relations, credentialing, and contract ... intake and manage provider perceived..
... manages claims operations that involve customer contact, investigation, and settlement of ... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... of Call Center or related..
Description Responsibilities The Grievances & Appeals Representative 2 for IRT will be responsible for assigning cases to associates on team to send to independent entity for 2nd level review. Tracking volume ..
... leads advanced and highly specialized administrative/operational/customer support duties that require independent ... Inbound Contacts Representative 4 addresses customer needs which may include complex ... it. Escalates unresolved and pending..
... manages claims operations that involve customer contact, investigation, and settlement of ... complex administrative / operational / customer support assignments. Performs computations. Typically ... of call center or related..
... Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... Appeals Representative 3 performs advanced administrative/operational/customer support duties that require independent ... warranted. Perform advanced administrative and/or..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Springfield Missouri Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, and ..
Job Information Humana Medicare Enrollment Representative 2 - Work at Home/Remote USA in Springfield Missouri Description The Enrollment Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. The Enrollment ..
... Medicaid Members and provide excellent service and support. These roles will ... Information) Minimum 2 years of customer service experience Must be available to ... Demonstrated experience with providing..
Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
... from home, part time, Amazon, customer service representative, medical professional, remote work ... administrative assistant, work from home customer service representative, registered nurse, web developer, ... This is ........
... have several new Inbound Contact Representatives openings that will have the ... our members and providing excellent service and support. These remote roles ... Inbound Contact Representative 2 addresses..
... inquiries. The Advocate performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on ... digital, or written inquiries Addressing customer needs which may include complex ... it. Advancing unresolved and pending..
... able to have a world-class customer service organization, without having to build ... train, the top 1% of customer service professionals. And then, together, we ... work with our..
