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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..
Job Information Humana Senior Product Manager, Remote in Honolulu Hawaii Description ... Hawaii Description The Senior Product Manager Conceives of, develops, delivers, and ... customer use. The Senior Product Manager..
Job Information Humana Product Manager Lead, Pharmacy Transformative Products Team, Remote in Honolulu Hawaii Description The Pharmacy Transformative Products Team is responsible for rapidly identifying, researching, evaluating, and deploying new transformational ..
Job Information Humana Medical Director - National Medicare Team ... in Honolulu Hawaii Description The Medical Director relies on medical background and reviews preauthorization requests ... preauthorization requests for services...
... experience and vitality of the associate community. Through offerings anchored in ... for the newly-created role of Associate Vice President, Behavioral Health Strategy. ... our most vulnerable members. The..
Job Information Humana Manager, Utilization Management RN - Remote ... in Honolulu Hawaii Description The Manager, Utilization Management Nursing utilizes clinical ... coordination, documentation and communication of medical services and/or..
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 Behavioral Health Medical Director makes determinations regarding prior ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical Directors..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The Medical..
Job Information Humana Medical Director - Texas in Honolulu ... in Honolulu Hawaii Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims...
... Humana Medicare Appeals and Grievance Medical Director in Honolulu Hawaii Description ... in Honolulu Hawaii Description The Medical Director relies on fundamentals of ... C Line of Business. The..
Job Information Humana UM Medical Director - Conviva in Honolulu ... in Honolulu Hawaii Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..
Description The Care Manager, Telephonic Nurse Assistant 2 receives ... from members. The NAL Care Manager, Telephonic Nurse Assistant 2 is ... call center type experience Prior medical knowledge Ability..
Description The Medical Director relies on fundamentals of ... and per diem requests. The Medical Director provides medical interpretation and determinations whether services ... some cases) contracts. Responsibilities The Medical..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily work. Responsibilities..
Job Information Humana Medical Director - Medicare Pharmacy Appeals ... in Honolulu Hawaii Description The Medical Director relies on clinical background ... reviews Medicare drug requests. The Medical director work..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... Saturday and Sunday. Responsibilities The Medical..
Description The Medical Director's primary responsibility is the ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of a..