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Description The Director of Health Services for National Medicaid Clinical ... benefit administration determinations. The Director, Health Services requires an in-depth understanding ... delivery process. The Director of Health Services..
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 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,..
... required to meet the complex health needs of TRICARE beneficiaries, to ... activities within the medical and behavioral health spectrum. They will also coordinate ... psychosocial issues, home environment..
... a team environment on Humana's health plan accreditations, performing complex tasks ... performing complex tasks related to compliance with accreditation standards across multiple ... a team environment on Humana's..
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..
... Humana Network Operations Lead - Behavioral Health/Medicaid in Davenport Iowa Description The ... Lead manages provider data for health plans including but not limited ... Medicaid contracts Understanding of..
Job Information Humana RN-Care Manager, Behavioral Health-RN in an eNLC state required ... Description The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, ... members. The Care Manager,..
Description The Lead Behavioral Health Medical Director oversees the work ... case reviews themselves. The Lead Behavioral Health Medical Director may also lead ... for the Humana Clinical Operations Behavioral..
... a company focused on the health and well-being of the people ... personalized medication list, and manage health care needs protected by secure ... benefits selection, benefits utilization, getting..
... 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 .....
... 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..
... a company focused on the health and well-being of the people ... of Associate Vice President, Digital Health Services. In this role, you ... and care management self-service options,..
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..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
... Information Humana Senior Care Manager, Behavioral Health (BCBA) in Davenport Iowa Description ... Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the ... auditing for quality..
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..
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..
... Humana Market Development Advisor - Behavioral Health/Medicaid in Davenport Iowa Description The ... Advisor provides support to assigned health plan and/or specialty companies relative ... Medicaid product implementation, operations,..
... for members of Medicare Advantage health plans and is committed to ... conditions. The practices also provide health education and value-added, well-being services ... and community members improve their..
... Senior Market Development Professional - Behavioral Health/Medicaid in Davenport Iowa Description The ... Professional provides support to assigned health plan and/or specialty companies relative ... Medicaid product implementation, operations,..
