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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 The Lead Technology Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Lead Technology Leadership Professional works on problems of diverse scope and ..
... delivery of patient care in compliance with standards outlined in the ... philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory ... Recommend disciplinary action to Clinical..
... MAJOR FUNCTIONS: The Assistant General Manager Specialist has operational and limited ... the assignment. The Assistant General Manager Specialist operates any and all ... the directive of the Regional..
... part of the Security Risk, Compliance and Governance team. Responsible and ... certification, including Certified Information Security Manager (CISM), Certified Information Systems Auditor ... WORK ACTIVITIES Security Risk &..
... Pharmacy. Serve as the quality assurance expert in process change/performance improvement ... processes, systems, and certain regulation compliance, such as HIPAA; identify and ... projects at the discretion of..
Job Information Humana UM Medical Director - Conviva in San Juan Puerto Rico Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..
Job Information Marriott Multi-property Quality Manager in San Juan Puerto Rico ... Category Procurement, Purchasing, and Quality Assurance Location San Juan Marriott Resort ... Type Management Position Title: Quality Manager..
Job Information Humana Senior Formulary Operations Management Professional - Distribution Programs in San Juan Puerto Rico Description The Senior Distribution Programs Professional provides clinical and operational leadership for the development, maintenance, ..
... and conduct performance reviews in compliance with organizational policies and procedures ... policies and procedures *Support the manager in maintaining relationships with inside ... and customer base *Support the..