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Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... to their resolution. Provides exceptional customer service, ensuring that all interested parties ... or equivalent 2 years..
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 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 ..
... 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..
... 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 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 ..
... 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..
... our members and providing 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 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 ..
... Medicare 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..
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 The Inbound Contacts Representative 4 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 4 assumes ownership and leads advanced and highly specialized administrative/operational/customer ..
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 Rogers Arkansas Description The Senior Learning Design Professional analyzes content, organizes content, designs solutions, and writes ..
Job Information Humana Value-Based Programs Financial Analyst - Louisville, KY or Work at Home in Rogers Arkansas Description The Value-Based Programs Financial Analyst builds templates, standard documentation, policy and protocol, case ..
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 ..
Job Information Humana Medicare Enrollment Representative 2 - Work at Home/Remote USA in Rogers Arkansas Description The Enrollment Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. The Enrollment ..
... 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..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Rogers Arkansas Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, and ..
... 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..