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Description The Supervisor, Utilization Management will lead a team of Utilization Coordinators that supports the Prior Authorization team for the Florida Medicaid market. The Supervisor will lead a team on non-clinical ..
Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding ..
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 ..
Description The Care Delivery Tele Sales Agent conducts selling activities related to inbound and outbound calls within a care delivery setting. The Care Delivery Tele Sales Agent work assignments are varied ..
Certified Mobile Notary Service (certifiedmobilenotaryservice.com) is the #1 nationwide notary signing service job platform that connects valuable companies to Mobile Notary Signing Agents nationwide to notarize mortgage loan documents and general ..
Description The M&A Lead Solutions Architect works with Humana's technology organization and our internal user groups to solve Integration initiatives with available technology including hardware, software, databases, and peripherals. The Lead ..
GuideOne is a community for good. We exist to help our members achieve their goal of making the world a better place. Our Claims department is critical to our success, because ..
Job Information Humana Senior Dev Ops Engineer (Remote, virtual home office) in Tampa Florida Description The Senior DevOps Engineer Enables the automation of software code deployment by eliminating functional silos existing ..
(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) Join the ISG Auditor Team! At ISG, we value our ..
Description You have the unique opportunity to build and implement the strategy for Release Management from the ground-up for one of few Medicare 5 Star plans in the country. We are ..
Description The Business Systems Analysis Professional 2 performs analysis of business, process and user needs, documentation of requirements, cost/benefit analysis and translation into proper system requirement specifications and EMR configuration. The ..
Job Information Humana Supervisor, Grievance & Appeals- Work at Home FL in Tampa Florida Description The Supervisor, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review ..
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 ..
Description The Senior Consumer Experience Professional ensures optimized interaction between a company and providers. The Senior Consumer Experience Professional work assignments involve moderately complex to complex issues where the analysis of ..
Description The Quality (Non-Calls) Professional 2 ensures that products meet certain standards of quality. The Quality (Non-Calls) Professional 2 work assignments are varied and frequently require interpretation and independent determination of ..
Description A Salesforce Marketing Cloud Technology Leader is in a strategic position within Humana. Leaders in this role provide thought leadership and oversight within the domain of establishing a Center of ..
Description At Humana's Experience Center (XC), we are explorers, listeners, creators, and thinkers working together to influence the ways that people care for themselves and one another. We are seeking individuals ..
Description The Supervisor, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request is ..
