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u003cpu003eFounded in 1965, Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees. We offer an array of..
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Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data..
FT/40 hrs. This position will provide Case Management Services to non-minor dependents (NMD’s) that are participating in the THP-NMD program, maintain regular contact (as determined by the program contract/Statement of..
Become a Caregiver Hero working with adults & children with developmental disabilities Want to make an impact in the daily lives of others? Cambrian Homecare is an excellent setting to..
Job Information Humana Senior Accreditation Professional in Torrance California Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance..
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Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for..
Description The Clinical Data and Reporting Professional 2 generates ad hoc reports and regular datasets and reporting for clinical leadership decision making. The Clinical Data and Reporting Professional 2 also..
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..
Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates,..
Description The Pharmacy Clinical Advisor Professional 2 is an integral part of the Pharmacy Stars team which is accountable for Humana's Patient Safety and medication related Star measure performance. The..
1 fulltime opening in Anaheim PHP. 2 fulltime openings in Signal Hill PHP. 2 fulltime openings in Santa Ana PHP. 1 fulltime opening in Cerritos PHP. 1 part time opening..