Application Developer in United States

Become a part of our caring community The Grievances and Appeals Representative 4 role in the Internal Review Team is responsible for managing appeal denials, by reviewing clinical documentation, determining whether further action is needed, and validating final determinations in coordination with clinical and internal Humana partners. Key Responsibilities: Manage Level 1 appeal cases , ensuring accuracy, completeness, and compliance with CMS requirements Review clinical documentation to support appeal determinations and escalation decisions Coordinate with clinical teams and internal partners to finalize appeal outcomes Investigate and resolve member and provider issues with a focus on timely resolution Maintain high productivity and quality standards in a production-driven environment Ensure strict adherence to confidentiality and compliance regulations Independently prioritize and manage multiple high-volume case assignments Proactively embraces change and supports smooth transitions in a dynamic work environment Use your skills to make an impact Required Qualifications: 1+ year of grievance & appeals and/or customer service experience Strong data entry skills Proficiency in Microsoft Office Applications Experience in a production-driven environment Experience prioritizing and delivering multiple assignments Strong commitment to confidentiality and high-quality results Preferred Qualifications: Associate's or Bachelor's degree 2–4 years of grievance and appeals experience Medical claims processing experience Previous inbound call center experience Experience wi

Where Performance Meets Purpose Join a team that values excellence and innovation, at a company known for its iconic golf brands. At Acushnet Company, your background and experience contribute to creating the best products for dedicated golfers worldwide. Here, your performance has purpose. What You Will Be Doing Titleist is seeking a dynamic, personable, and highly motivated Fitting Specialist to join our elite fitting team, supporting the Jacksonville, FL territory. In this role, you will deliver exceptional club fitting experiences at consumer events, tournaments, and Titleist fitting activations, helping golfers find the equipment that maximizes their performance. As a trusted Titleist brand ambassador, you will leverage industry-leading fitting technology and product expertise to provide personalized recommendations, coordinate event logistics, and build lasting relationships with golfers. This role supports approximately 130-150 events per season, primarily Tuesday through Saturday, and plays a key part in shaping the performance and loyalty of golfers across the region. What You Bring 2+ years of club fitting experience with a passion for golf performance and equipment technology Exceptional customer service, communication, and relationship-building skills Strong Titleist or golf equipment product knowledge with confident presentation abilities Experience using fitting technology, including TrackMan and mobile applications Highly re

Where Performance Meets Purpose Join a team that values excellence and innovation, at a company known for its iconic golf brands. At Acushnet Company, your background and experience contribute to creating the best products for dedicated golfers worldwide. Here, your performance has purpose. What You Will Be Doing Titleist is seeking a dynamic, personable, and highly motivated Fitting Specialist to join our elite fitting team, supporting the Hartford, CT territory. In this role, you will deliver exceptional club fitting experiences at consumer events, tournaments, and Titleist fitting activations, helping golfers find the equipment that maximizes their performance. As a trusted Titleist brand ambassador, you will leverage industry-leading fitting technology and product expertise to provide personalized recommendations, coordinate event logistics, and build lasting relationships with golfers. This role supports approximately 100-125 events per season, primarily Tuesday through Saturday, and plays a key part in shaping the performance and loyalty of golfers across the region. What You Bring 2+ years of club fitting experience with a passion for golf performance and equipment technology Exceptional customer service, communication, and relationship-building skills Strong Titleist or golf equipment product knowledge with confident presentation abilities Experience using fitting technology, including TrackMan and mobile applications Highly reliable, detail-oriented, and able to work independently Reliable transportation capable of carrying fitting and display equipment Ability to lift up to 40 lbs multiple times per day