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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 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 ..
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 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 ..
... 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..
... Bilingual / Call Center / Customer Service Rep / Remote / Work ... / Bilingual / Call Center Customer Service Representative who is interested in ... team that focuses..
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 ..
Job Information Humana Senior Learning Design Professional: REMOTE/WORK AT HOME (Anywhere in the US) in Troy Michigan Description The Senior Learning Design Professional analyzes content, organizes content, designs solutions, and writes ..
... 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..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... 1 - 2 years previous customer service experience Excellent verbal and written ... and/or ICD-10 codes Prior..
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 UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Troy Michigan Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, and ..
... 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..
... 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..
... 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..
... Medicaid Members and provide excellent service and support. These roles will ... Inbound Contact Representative 2 addresses customer needs which may include complex ... it. Escalates unresolved and pending..
Job Information Humana Medicare Enrollment Representative 2 - Work at Home/Remote USA in Troy Michigan Description The Enrollment Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. The Enrollment ..
... 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..
... 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..
... our members and provide excellent service and support. These remote roles ... Inbound Contact Representative 2 addresses customer needs which may include complex ... it. Escalates unresolved and pending..
Description The Consumer Service Operations Representative 2 is responsible ... the daily activities across multiple service functions area. The Consumer Service Operations Representative 2 performs varied ... varied activities and..
... 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..
