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Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..
Description: Handle inbound and outbound calls for assigned client, providing customer service, collection efforts as specified by the client and GC Services. Responsibilities Complies with all specified FDCPA, state and city ..
Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and risk mitigation in implementing Humana's Provider Medicaid operational business. The Associate ..
... of CVS Health's Pharmacy Benefit Manager business is hiring 100s of ... teams for the Pharmacy Benefit Manager (PBM) division of CVS Health. ... Adherence to HIPAA and governmental..
... pharmaceutical industry. Experience in quality assurance, regulatory affairs, compliance preferred.3+ years of experience as ... years of experience as a Manager preferred. Strong project management skills.Demonstrated ... to a..
Description The Manager, Risk Adjustment oversees coding educators ... oversees coding educators and quality assurance audits of medical records and ... and Medicaid Services (CMS). The Manager, Risk Adjustment works..
PURPOSE AND SCOPE:Coordinates all efforts for major projects and other significant assignments. Assistsin performing disciplined problem solving for supplier, customer, and internal quality defect. Plays an active role in supporting design ..
Job Information Humana Associate Director, Provider Data Interoperability in Knoxville Tennessee Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..
