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Description The Care Management Support Assistant 2 (CMSA2) contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Green Bay Wisconsin Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and ..
Job Information Humana Behavorial Economics Program Manager - Test & Learn Portfolio in Green Bay Wisconsin Description The Behavioral Economics Program Management Lead designs, executes, and measures the results of large-scale ..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Green Bay Wisconsin Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Green Bay Wisconsin Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments ..
Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The Nurse ..
Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward resources appropriate for the ..
Description The Behavioral Health Lead will report directly to the National Medicaid Quality Director, and be responsible for the development, maintenance, and execution of Humana Healthy Horizon's National Improvement strategy and ..
Description The Strategy Advancement Advisor provides strategic direction to drive appropriate care, with the aim of reducing waste and overuse of healthcare services, while encouraging high value care. The team uses ..
Job Information Humana Senior Sales Enablement Product Marketer in Green Bay Wisconsin Description Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Product Marketer who is hyper customer ..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team uses advanced scientific techniques, ..
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 facilitate ..
Description Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Senior Product Marketing Professional to join the PCO's Field Marketing team. This is a remote role that will ..
Job Information Humana Telephonic Behavioral Health Care Manager in Green Bay Wisconsin Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve ..
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 ..
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 The Behavioral Health Care Coordinator, 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 facilitate interaction ..
Job Information Humana Manager, Utilization Management RN - Remote in Green Bay Wisconsin Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..
... key process domains: (1) seeking/gathering physician/clinician perspectives, (2) collaborating with business ... business leaders to infuse the physician/clinician voice within the enterprise, and ... enterprise, and (3) developing/promoting/elevating the..
Job Information Humana VP, Clinical Operations in Green Bay Wisconsin Description VP, Clinical Operations and Chief Clinical Officer of Kindred at Home, you will be responsible for planning and creating the ..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
Job Information Humana Care Manager, Telephonic Nurse 2-WAH-CT and MT in Green Bay Wisconsin Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs and ..