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Description The Care Management Support Assistant 3 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 ..
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Description The Grievances & Appeals Representative 3 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
... Management Support Assistant 3/ Inbound Call Center - Remote, Puerto Rico in ... timeframes to obtain standard patient clinical information for all patients identified ... update discharge information in..
Job Information Humana Consumer Experience Lead-Remote in US in San Juan Puerto Rico Description The Consumer Experience Lead ensures optimized interaction between a company and members. The Consumer Experience Lead works ..
... a comprehensive analytic review of clinical documentation to determine if an ... trained skillsets and/or partnerships with clinical and other Humana parties. The ... a comprehensive analytic review of..
... Inbound Contacts Representative 2 / Call Center Representative positions that will have ... The Inbound Contacts Representative / Call Center Representative 2 represents Humana/CarePlus by ... Inbound Contact Representative..
Description The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, ..
