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Description The Care Management Support Assistant 3 contributes to ... contributes to administration of care management. Provides non-clinical support to the ... wellbeing of members. The Care Management Support Assistant..
Description The Utilization Management Behavioral Health Professional 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... of action. Responsibilities The Utilization Management Behavioral Health..
... and clinical compliance, and case management. Serve as a Humana Military/Humana ... clinical elements. Perform telephonic case management with beneficiaries throughout the United ... focus upon policy and utilization..
... a member of the Case Management Team, providing a comprehensive, holistic ... comprehensive, holistic approach for case management throughout the continuum of care. ... to facilitate measurement of case..
Job Information Humana Senior Program Delivery Professional/ HGB - REMOTE Nationwide in Davenport Iowa Description The Senior Program Delivery Professional strategically identifies, develops, and implements programs that influence providers, members or ..
Description Responsibilities The Utilization Management Nurse 2 will be responsible ... quality and clinical compliance with contract requirements as outlined in the ... CPT codes. Our Department of Defense Contract..
Description Responsibilities The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism ..
... the day-to-day administration and strategic management of behavioral and physical health ... physical health services, including utilization management (UM), Case Management (CM), Disease Management (DM), population health management, contract..
... as the second line of defense by providing oversight and monitoring ... matter expert for revenue cycle management, including risk adjustment and fee ... changes that assure compliance with..
... general business operations to ensure contract performance is consistently within expected ... of business requirements and resource management practices. Professional and articulate, comfortably ... in accordance with Humana Military..
... includes data entry into medical management system, assigning an appropriate provider, ... diagnosis and/or referral requiring Case Management and pend to appropriate point ... independent discretion. Our Department of..
Description Responsibilities The Senior Solutions Architect works with user groups to solve business problems with available technology including hardware, software, databases, and peripherals. Translates business needs into technical systems solutions. Integrates ..
Job Information Humana Senior Technology Implementation Professional (Remote-Nationwide) in Davenport Iowa Description The Senior Technology Implementation Professional delivers new technological solutions to meet business needs within a specified scope while aligned ..
Description Would you like the opportunity to bring human care to healthcare? To design business models and solutions that solve some of the most complex challenges facing our federal healthcare system? ..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral ... involves processing referrals into medical management system with emphasis on accuracy ... answer provider/beneficiary inquiries. The Care Management Support..
... TRICARE East Managed Care Support Contract. The CEBO team performs enrollment ... information collection within policies and contract performance metrics defined within our ... performance metrics defined within our..
... Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this ... Provide security systems and tools management related to the cloud technologies ... achieve continuous improvement in..
... into functions strategy. Department of Defense contract requires U.S. citizenship for this ... Manage Technology Compliance for TRICARE Contract Provide leadership to team for ... activities related to the..
... through partnership with the East Contract claims processing subcontractor. The role ... modification and assist with change management to minimize disruption and maximize ... Required Qualifications Our Department of..
Job Information Humana Cloud Solutions Engineer 2 in Davenport Iowa Description The Cloud Solutions Engineer 2 Implements organization's cloud strategy from a technical perspective, including design, planning, integration, maintenance and support ..
... of the Humana Military Case Management team; providing a comprehensive, holistic ... approach for Behavioral Health Case Management throughout the continuum of care. ... As part of the Case..
