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... specialist-focused value-based programs through data management, logic design and program maintenance ... utilization Manages assigned internal process management tasks including quality assurance and ... SQL and other relational database..
... Our Fortune 100 Company values associate engagement & your well-being. We ... work independently and determine appropriate course of action Capacity to maintain ... written and verbal Preferred Qualifications..
Description The Consumer Engagement Professional 2 oversees the enrollment, education, engagement, and activation duties for client groups regardless of segment, and for product where warranted. The Consumer Engagement Professional 2 work ..
... Our Fortune 100 Company values associate engagement & your well-being. We ... work independently and determine appropriate course of action Ability to handle ... GED or job related certification..
... and relations, credentialing, and contract management systems. Executes processes for intake ... data, provider directories, and/or contract management Intermediate in Microsoft Excel Flex ... contract interpretation experience Previous account..
Job Information Humana Utilization Management Nurse / RN - Work ... Tampa Florida Description The Utilization Management Nurse 2 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse..
Description The Customer Service Support Coordinator represents Your Home Advantage by making inbound and outbound contacts to members and advanced practice practitioners regarding the staffing and scheduling of in home wellness ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
... experts to provide input for course content ensuring course materials are current and relevant ... experts to provide input for course content. Writes effective learning objectives ... to measure..
Description The Workforce Management Professional 2 applies and integrates ... staffing, learning and development, talent management, diversity and human resource compliance). ... human resource compliance). The Workforce Management Professional 2..
Description The UM Administration Coordinator 2 contributes to administration of utilization management for Humana's KY Medicaid plan. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..