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... Where you Come In The Manager, Medical/Financial Risk Evaluation identifies, assesses, ... Our Fortune 100 Company values associate engagement & your well-being. We ... Experience reading and interpreting medical..
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 ..
Job Information Humana Manager, Pharmacy and Medical Trend in Portland Maine Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and medical, ..
Job Information Humana Associate Director, Provider Data Interoperability in ... Provider Medicaid operational business. The Associate Director, Provider Data Interoperability plans, ... Responsibilities The Provider Data Interoperability Associate Director will..
Job Information Humana Associate Director of Clinical Audit, Payment ... in Portland Maine Description The Associate Director of Clinical Audit, Payment ... identify and collect overpayment of claims. They will..
Job Information Humana Associate Director, Retail Claims Technology Solutions in Portland Maine ... in Portland Maine Description The Associate Director, Technology Solutions devises an ... on IT business initiatives. The..
Job Information Humana Manager of Release Engineering, Remote in ... in Portland Maine Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..
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; ..
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 Manager, Operations, Release and Process in ... in Portland Maine Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Portland Maine Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the Autism ..
Job Information Humana Manager, Release Management, Remote in Portland ... in Portland Maine Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..
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 Lead Product Manager - Healthcare API in Portland Maine Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, is directly ..
Description The Associate Director, Payment Integrity uses technology ... identify and collect overpayment of claims. Contributes to the investigations of ... and our financial recovery. The Associate Director, Payment Integrity..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in ... in Portland Maine Description The Associate Director, Utilization Management Nursing utilizes ... and/or benefit administration determinations. The Associate Director,..
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. ..
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 ..
... Information Humana Medicaid Senior Project Manager (Remote) in Portland Maine Description ... in Portland Maine Description Humana's Claims Process Organization is looking for ... looking for a Senior Project..
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 VP, Business Transformation and Clinical Innovation in Portland Maine Description The AVP, Business Transformation and Clinical Innovation leads the business transformation strategy and execution plans required to ..
Job Information Humana Associate Director, Health Information Management in ... in Portland Maine Description The Associate Director, Health Information Management ensures ... our encounter submissions systems. The Associate Director, Health..