• Member Experience Associate

    AAA Northern California, Nevada & Utah (Reno, NV)
    …Reimbursement Program Additional Details: Competitive hourly base + commissions . SUMMARY The Member Experience Associate (MEA) is primarily responsible for ... procedures and compliance including, but not limited to: + Member Experience + Member Services...licensing may be required depending on branch needs. + Bilingual Spanish. + Preferred Qualifications + Demonstrated success working… more
    AAA Northern California, Nevada & Utah (10/29/25)
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  • Special Needs Plan- Support Social Services

    Humana (Carson City, NV)
    …MD, MI, MS, NV, NM, OK, VA + Bilingual English/Spanish + Bilingual English/Creole + Experience working with Medicare and Medicaid **Additional Information** ... Social Worker** who functions as a Support Social Services associate (Support SS) in our Special Needs Plan (SNP)...and serves as part of an interdisciplinary care team member working with other disciplines, such as nurse care… more
    Humana (11/06/25)
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  • Grievances & Appeals Representative

    Humana (Carson City, NV)
    experience interpreting Member Benefits and Medical Claims + Previous experience processing medical authorizations + Bilingual (English and Spanish); with ... the comfort of your home due to your extensive experience and deep knowledge of administrative processes and organizational...**Please note that training is a critical stage of associate development. Attendance is vital for success, so no… more
    Humana (11/15/25)
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  • DMS Sales Manager

    Humana (Carson City, NV)
    …+ Bachelor's Degree. + Honorable Military Service. + 2 years of formal leadership experience with direct reports. + Bilingual proficiency in English and an ... + Minimum 3 years of sales **and/or** Medicare industry experience . + At least 2 years of call center...additional language. **Additional Information** + Any Humana associate who speaks with a member in… more
    Humana (11/13/25)
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  • UM Coordinator 2

    Humana (Carson City, NV)
    …assisting providers in determining whether a specific service for a member requires prior authorization or referral, ensuring compliance with established guidelines ... impact** **Required Qualifications** + Minimum 1 year of customer service experience , including the ability to effectively de-escalate challenging situations +… more
    Humana (11/01/25)
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  • Utilization Management Nurse

    CenterWell (Carson City, NV)
    …to obtain Compact Nursing License + A minimum of three years clinical RN experience ; + Prior clinical experience , managed care experience , **OR** utilization ... BSN or bachelor's degree in a related field + Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures...in Hospital, SNF, LTAC, DME or Home Health. + Bilingual **Alert** Humana values personal identity protection. Please be… more
    CenterWell (11/13/25)
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  • Clinical UM Nurse

    CenterWell (Carson City, NV)
    … + Previous Medicare/Medicaid Experience a plus + Call center or triage experience + Bilingual is a plus **Additional Information** To ensure Home or Hybrid ... of Medical Surgery, Heart, Lung or Critical Care Nursing experience required + Prior clinical experience preferably...from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. ​ Travel: While this… more
    CenterWell (11/12/25)
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  • Senior Clinical Programs Pharmacist

    Humana (Carson City, NV)
    … working with Access, SQL and Excel + Lean, 6 sigma experience and/or certification + Bilingual (English/Spanish) **Additional Information** WAH requirements: ... on continuously improving consumer experiences **Preferred Qualifications** + Previous experience with pharmacy benefits management + Previous Commercial, Medicare… more
    Humana (10/18/25)
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  • UM Behavioral Health Nurse

    Humana (Carson City, NV)
    …Compact license, with no disciplinary action + 3 or more years of clinical experience + Proficient in Microsoft applications including Word, Outlook, Excel + Adept ... experience working with computers and comfortable learning new programs...of EMR systems + Additional non-compact nursing licenses + Bilingual is plus **Work-At-Home Requirements** To ensure Home or… more
    Humana (11/15/25)
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  • Utilization Management Nurse

    Humana (Carson City, NV)
    … with Medicare/Medicaid regulations + Bachelor's degree in nursing (BSN) + Experience working in a virtual environment + Bilingual in Spanish/English ... no disciplinary action + 3 years of prior clinical experience as an RN + Proven ability to work...from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information **Additional Information** + Hours… more
    Humana (11/13/25)
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  • Client Service Specialist

    Columbia Bank (Incline Village, NV)
    …Diploma or GED, required. + 1 year of previous banking or customer service experience , preferred. + Bilingual preferred. + Ability to learn and comply with ... products to the appropriate business partner. + Provides an extraordinary client experience during face to face, phone, and electronic interactions. **About You:** +… more
    Columbia Bank (09/04/25)
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