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Description The Manager, Vendor Management works as liaison between vendors and organization. The Manager, Vendor Management works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; ..
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Description The Senior Medical/Financial Risk Evaluation Professional is responsible for supporting the development, implementation and monitoring of medical/financial risk. The Senior Medical/Financial Risk Evaluation Professional work assignments involve moderately complex to ..
Description Humana's National Medicaid Quality team is seeking a Market Consultant to be responsible for supporting individual Medicaid market quality teams and serving as the main relationship broker and liaison to ..
... (EFMP), auditing for quality and clinical compliance, and case management. Serve ... a Humana Military/Humana Behavioral Health liaison to TRICARE beneficiaries, guardians, personal ... documentation. Complete required audits of..
... serves as a Humana Military liaison to TRICARE beneficiaries, providers and ... unrestricted license to include: Licensed Clinical Social Worker (LCSW), Licensed Masters ... Licensed Masters Social Worker (LMSW-ACP),..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..
Description Responsibilities This role within the Autism Care Demonstration (ACD) Team, will work closely with Care Management leaders and Subject Matter Experts in the areas of Case Management, Utilization Management and ..
