Associate Manager Claims Jobs in Torrance

Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..

Description Reports directly to the Vice President, Medical Management Operations and serves as a member of the HGB Executive Committee. Leads functions related to HGB's Care Management programs to include predictive ..

Job Information Humana Medicaid Associate Director, Compliance Nursing in Torrance ... in Torrance California Description The Associate Director, Compliance Nursing reviews utilization ... fraud, waste, and abuse. The Associate Director,..

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Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..

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 ..

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 Nationwide Associate Director, Utilization Management Nursing in ... in Torrance California Description The Associate Director, Utilization Management Nursing utilizes ... and/or benefit administration determinations. The Associate Director,..

... Information Humana Medicaid Senior Project Manager (Remote) in Torrance California Description ... in Torrance California Description Humana's Claims Process Organization is looking for ... looking for a Senior Project..

Job Information Humana Manager, Pharmacy and Medical Trend in Torrance California 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, Health Information Management in ... in Torrance California Description The Associate Director, Health Information Management ensures ... our encounter submissions systems. The Associate Director, Health..

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 ..

Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..

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 ..

... daily with Director of Transportation, Claims Coordinator, and Transportation Supervisors, Transportation ... of Business Conduct and Ethics, Associate Handbook, etc.). Accept additional responsibilities ... activities and responsibilities. Responsible for..

... 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..

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 Lead Product Manager - Healthcare API in Torrance California Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, is directly ..

Job Information Humana Associate Director of Clinical Audit, Payment ... in Torrance California 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 Torrance California ... in Torrance California Description The Associate Director, Technology Solutions devises an ... on IT business initiatives. The..

Job Information Humana Associate VP, Business Transformation and Clinical Innovation in Torrance California Description The AVP, Business Transformation and Clinical Innovation leads the business transformation strategy and execution plans required to ..

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..

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 ..