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Description The Care Manager, Telephonic Behavioral Health 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 Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
... with a context of regulatory compliance, and work is assisted by ... meeting departmental expectations, and meets compliance timelines. Supports the assigned work ... on quality management, utilization management,..
Job Information Humana Medical Director - National Medicare Team in San Juan Puerto Rico Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director ..
Job Information Humana Senior Cloud Security Engineer (virtual remote) in San Juan Puerto Rico Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud ..
... within a context of regulatory compliance, and work is assisted by ... meeting departmental expectations, and meets compliance timelines. Supports the assigned work ... on quality management, utilization management,..
... by other healthcare professionals in compliance with review policies, procedures, and ... meeting departmental expectations, and meets compliance timelines. Supports the assigned work ... on quality management, utilization management,..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
... with a context of regulatory compliance, and work is assisted by ... meeting departmental expectations, and meets compliance timelines. Supports the assigned work ... care, quality management, utilization management,..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..
Description The Lead Product Manager conceives of, develops, delivers, and manages products for customer use. The Lead Product Manager works on problems of diverse scope and complexity ranging from moderate to ..
Job Information Humana Senior Product Manager, Remote in San Juan Puerto ... Rico Description The Senior Product Manager Conceives of, develops, delivers, and ... customer use. The Senior Product Manager..
Job Information Humana Medicare Appeals and Grievance Medical Director in San Juan Puerto Rico Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for ..
Job Information Humana Lead Product Manager - Enrollment (Remote) in San Juan Puerto Rico Description The Lead Product Manager conceives of, develops, delivers, and manages products for customer use. The Lead ..