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Description The AVP, Business Technology Solutions Implementation will oversees various system programs of a highly complex nature to deliver new technological solutions to meet business needs within a specified scope while ..
Job Information Humana AVP Enterprise Architecture Activation in Aberdeen South Dakota Description The Associate VP, Enterprise Architecture translates business needs into technical systems solutions and architectural roadmaps. The Associate VP, Enterprise ..
Job Information Humana Administrative Assistant 2 in Aberdeen South Dakota Description The Administrative Assistant 2 will follow established procedures and guidelines to provide executive and administrative support to a senior leader ..
Description The Behavioral Health Care Manager, Telephonic Nurse, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Aberdeen South Dakota Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to ..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Description Full-Time Remote, Telephonic RN opportunity. Humana Care Support is a division of Humana that is dedicated to helping adults remain independent in their homes. Our nurses are titled Care Managers, ..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
Description Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate ..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Aberdeen South Dakota Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that ..
Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The Nurse ..
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 assignments ..
Job Information Humana Senior Financial Planning and Analysis Professional in Aberdeen South Dakota Description The Direct Segment Finance team is looking to hire a Senior Financial Planning and Analysis Professional to ..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the Florida Medicaid team. Responsibilities The Intern - Care Manager, ..
Job Information Humana RN Care Manager--Compact License Required-WAH Nationwide in Aberdeen South Dakota Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and ..
Job Information Humana Media Planning Professional in Aberdeen South Dakota Description Humana is a Fortune 50 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Aberdeen South Dakota Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..
Description Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all ..
Job Information Humana Bilingual Spanish RN Care Manager--Compact License Required-WAH Nationwide in Aberdeen South Dakota Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
Description The Weekend Telephonic 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 ..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH Nationwide in Aberdeen South Dakota Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' ..
