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Description The Medicaid Implementation Senior Project Manager manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Medicaid Implementation Senior ..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
Description Responsibilities The Billing & Enrollment Representative will assist members in a fast-paced inbound call center environment. You will be responsible for: Processing enrollments, payments, address changes or other enrollment related ..
Partner, Corporate Sustainability and Climate Change (Partner Level) Duties: The candidate will be shaping clean energy and climate policy insight and advisory services, with a focus on leading electric sector coalitions ..
Job Information Humana Associate VP, Business Transformation and Clinical Innovation in Charleston West Virginia Description The AVP, Business Transformation and Clinical Innovation leads the business transformation strategy and execution plans required ..
Job Information Humana Senior Acquisition Integration Professional (Medicare/Medicaid) (Remote) in Charleston West Virginia Description Humana's Enterprise Shared Services (ESS) organization is looking for a Senior Acquisition & Integration Professional to join ..
Job Information Humana Senior Compliance Professional (PBM & Pharmacy) in Charleston West Virginia Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately ..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
Job Information Humana Senior Compliance Professional - Medicaid State Reporting in Charleston West Virginia Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve ..
Job Information Humana Senior Program Delivery Professional/ HGB - REMOTE Nationwide in Charleston West Virginia Description The Senior Program Delivery Professional strategically identifies, develops, and implements programs that influence providers, members ..
Job Information Humana Senior Business Intelligence Engineer - Remote in Charleston West Virginia Description The vision of the Retail Customer Segmentation team is to achieve simpler care (through an enhanced member ..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
Description The Network Optimization Lead oversees various efforts involving highly complex data analysis and consultation projects/contracts. The Network Optimization Lead works on problems of diverse scope and complexity ranging from moderate ..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Charleston West Virginia Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex ..
Job Information Humana Senior Compliance Professional (Network & Credentialing) in Charleston West Virginia Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately ..
Job Information Marriott Senior Manager, Social Media Management Platform in Charleston West Virginia Job Number 23020999 Job Category Sales & Marketing Location Marriott International HQ, 7750 Wisconsin Avenue, Bethesda, Maryland, United ..
Description The Value-Based Programs Strategy Lead supports the creation of complex value-based programs. The Value-Based Programs Lead provides strategic advice and guidance to functional team(s) related to value-based vendor and specialty ..
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 ..
Description Are you someone who is experienced with licensing for hardware/software support, software licensing and SaaS? Do you have skills for developing relationships and making IT jargon palatable for business stakeholders? ..
Description As a customer-centric company, our top priority has always been the health of the people we serve. Our decades of experience helping millions of members, and our continuous learning on ..
Description Come join the Data Governance office as Lead, Enterprise Data Governance! In this role you can help grow and implement the company's data use and external data strategies. Through applying ..
Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the US) in Charleston West Virginia Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental requirements. The Senior Compliance ..