- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by ... trained skillsets and/or partnerships with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced… more
- Humana (Columbus, OH)
- …immediate and acute gaps in care and access. + Assists members with filing grievances and appeals . + Provides information to members related to MCO requirements, ... monitoring care through use of assessment, data, and conversations with member/member representative . + Assesses and evaluates member's needs via telephonic and face… more