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Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
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Job Information Humana Manager, Pharmacy and Medical Trend in Albany New York Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and ..
Job Information Humana Associate VP, Business Transformation and Clinical Innovation in Albany New York Description The AVP, Business Transformation and Clinical Innovation leads the business transformation strategy and execution plans required ..
Description The National Delegation Oversight and Support (NDOS) Associate Director role within the Value Based Strategies team, will collaborate with our Operational Risk Management, Delegation Compliance, various functional business owners (such ..
Job Information Humana Manager of Release Engineering, Remote in Albany New York Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production ..
Job Information Humana Lead Product Manager - Healthcare API in Albany New York Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, is ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Job Information Humana Associate Director, Retail Claims Technology Solutions in Albany New York Description The Associate Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Albany New York Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience ..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..
Job Information Humana Manager, Operations, Release and Process in Albany New York Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production ..
Description The Managing Clinical Pharmacist within the Pharmacy Claim Audit & Review department monitors drug development pipeline, and medical literature, while providing clinical and audit support for internal stakeholders. Utilizes broad ..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Albany New York Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the ..
Job Information Humana Manager, Release Management, Remote in Albany New York Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production environment. ..
Job Information Humana Medicaid Senior Project Manager (Remote) in Albany New York Description Humana's Claims Process Organization is looking for a Senior Project Manager to join the Project Management team! As ..
Job Information Humana Associate Director, Provider Data Interoperability in Albany New York Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance ..
... identify and collect overpayment of claims. Contributes to the investigations of ... systems, and by ensuring correct claims payment. Decisions are typically related ... of work experience related to..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Job Information Humana Associate Director, Health Information Management in Albany New York Description The Associate Director, Health Information Management ensures data integrity and quality for our encounter submissions systems. The Associate ..
Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production environment. The Manager, Release Management Engineering works within specific guidelines and procedures; ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Albany New York Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..
Job Information Humana Manager of Fraud and Abuse Data Analytics in Albany New York Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be responsible for the supervision of ..
