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Description The Credentialing Assistant 3 obtains and reviews documentation to determine status in a health plan. The Credentialing Assistant 3 performs advanced administrative/operational/customer support duties that require independent initiative and judgment. ..
Description The Care Management Support Assistant 3 contributes to administration of ... administration of care management. Provides non-clinical support to the assessment and ... members. The Care Management Support Assistant..
Description The Senior Provider Engagement, Clinical Professional develops and grows positive, ... plan. The Senior Provider Engagement, Clinical Professional work assignments involve moderately ... Responsibilities The Senior Provider Engagement, Clinical..
... estate, construction, training, human resources, clinical staff and finance. Secures needed ... issues regarding technical approach for project components, and work is performed ... LPN, LVN, RN, BSN or..
Description Humana is a $77 billion (Fortune 41) 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 AVP, Business Technology Solutions Implementation will oversees various system programs of a highly complex nature to deliver new technological solutions to meet business needs within a specified scope while ..
Description The Senior Clinical Business Professional is a clinical partner to the Commercial Product ... Product Strategy team. The Senior Clinical Business Professional work assignments involve ... at home anywhere..
... intent to create a transformative clinical model to serve their members ... we do. The AVP of Clinical Systems will be an integral ... continued evolution. The AVP of..
... estate, construction, training, human resources, clinical staff and finance Secures needed ... issues regarding technical approach for project components, and work is performed ... LPN, LVN, RN, BSN or..
Description Responsibilities The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism ..
... of process improvement professionals supporting Clinical Operations as it's primary customer. ... meetings with leadership to review project progress and ensure the project portfolio is delivering the desired .....
... issues regarding technical approach for project components, and work is performed ... with questions and mentoring of clinical staff Reviews and resolves escalated ... reviews for requested services using..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Troy Michigan Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
... 2 will work on the clinical research and development team with ... to develop, implement and maintain clinical lab audit concepts. The Nurse ... Nurse Auditor 2 will perform..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..
... Information Humana Senior Medical/Financial Risk Clinical Professional in Troy Michigan Description ... Description The Senior Medical/Financial Risk Clinical Professional is responsible for supporting ... risk. The Senior Medical/Financial Risk..
... Humana RN, Senior Stars Improvement, Clinical Professional in Troy Michigan Description ... a RN, Senior Stars Improvement, Clinical Professional who will be responsible ... Program. The Senior Stars Improvement,..
... Associate VP, Business Transformation and Clinical Innovation in Troy Michigan Description ... The AVP, Business Transformation and Clinical Innovation leads the business transformation ... The AVP, Business Transformation and..
Description The Remote Systems Clinical Pharmacist will provide excellent customer ... maintaining relationships with Account / Clinical Management and PCO-IPU Operations teams. ... to the following: Account / Clinical Support..
Job Information Humana Assistant General Counsel, Home Solutions in ... in Troy Michigan Description The Assistant General Counsel provides a full ... legal advice and services. The Assistant General Counsel..
Job Information Humana Credentialing Assistant 3/Government Business - Work at ... Troy Michigan Description The Credentialing Assistant 3 obtains and reviews documentation ... a health plan. The Credentialing Assistant 3..
