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... Principal provides support to assigned health plan and/or specialty companies relative ... Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. ... technical experience. Responsibilities The Medicaid..
Description The Market Development Principal provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development Principal ..
Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic ... Advisor (Care Manager, Telephonic Behavior Health 2) will audit CPT (Current ... (Autism Care Demonstration). Responsibilities The Behavioral Health Clinical..
Description The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, ... members. The Care Manager, Telephonic Behavioral Health 2 work assignments are varied ... seeking a Care Manager,..
... patient safety, member advocacy and compliance adherence. Follows established guidelines/procedures. What ... Communicating observed learning, performance and/or behavioral patterns Ability to work well ... on CMS changes or Regulatory..
... on medical background and reviews health claims. The Medical Director work ... Responsibilities Humana Government Business's (HGB) Behavioral Health Medical Director will provide clinical ... will provide clinical oversight..
... to promote cost-effective delivery of health care services. Share your talents ... Review PA requests for home health services, durable medical equipment, outpatient ... Care Coordinators/Care Managers and the..
... of provider types, such as behavioral health, maternity, specialists, and social determinants ... specialists, and social determinants of health, creating glide paths to move ... VBP model development to..
... Advisor provides support to assigned health plan and/or specialty companies relative ... Group product implementation, operations, contract compliance, and federal contract application submissions. ... on regulations for all assigned..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for ... auditing for quality and clinical compliance, and case management. Serve as ... Serve as a Humana Military/Humana..
... subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ideal candidate ... with cross-functional teams to ensure compliance with NCQA standards, manage team .....
... Humana Market Development Advisor - Behavioral Health/Medicaid in Anchorage Alaska Description The ... Advisor provides support to assigned health plan and/or specialty companies relative ... Medicaid product implementation, operations,..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The ... care strategy and/or operations. The Behavioral Health Medical Director work assignments involve ... Responsibilities..
... ensure consistency with business and compliance requirements. Tracks, documents and analyzes ... proficiency and reducing patient and compliance risks. What Humana Offers We ... needs and observed learning and/or..
... Manager Nurse Family Partnership (Home Health Care Nursing Partnership, Day Shift, ... 1.0 FTE) to Providence Home Health Care in Anchorage, Alaska.** **We ... System Quality Improvement plans in..
Description The Behavioral Health Medical Director makes determinations regarding ... within a context of regulatory compliance, and work is assisted by ... by other healthcare professionals in compliance with review..
Description The Behavioral Health Market Development Advisor provides support ... Advisor provides support to assigned health plan and/or specialty companies relative ... Group product implementation, operations, contract compliance, and federal..
... Anchorage Alaska Description The Senior Behavioral Health Market Development Professional provides support ... Professional provides support to assigned health plan and/or specialty companies relative ... Medicaid product implementation, operations,..
Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic ... members. The Care Manager, Telephonic Behavioral Health 2 work assignments are varied ... Responsibilities The Care Manager,..
Description Humana Healthy Horizons is seeking a Value-Based Programs Lead who will support successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. This position ..
