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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 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..
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..
... 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..
Job Information Humana Senior Technology Implementation Professional (Remote-Nationwide) in Omaha Nebraska Description The Senior Technology Implementation Professional delivers new technological solutions to meet business needs within a specified scope while aligned ..
... 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 Marketing Campaign Developer in Omaha Nebraska Description Responsibilities The Marketing Campaign Developer supports Humana Military email and Text marketing projects as assigned. As a communications developer you are ..
We are looking for candidates passionate about craftsmanship, teamwork, and delivering user capability to join SAIC supporting the Air Force weather community on the Technology Application Development & Sustainment (TADS) contract. ..
Job Information Humana Senior Program Delivery Professional/ HGB - REMOTE Nationwide in Omaha Nebraska Description The Senior Program Delivery Professional strategically identifies, develops, and implements programs that influence providers, members or ..
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? ..
... 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..
... 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..
... 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 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 ..
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 ..
... 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..
... 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 Provider Data Management & Contract Load Professional in Omaha Nebraska ... Omaha Nebraska Description Provider Data Management & Contract Load Professional 2 is responsible ... provider accounts...
... 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..
Assistant General Counsel The candidate will be providing legal counsel, compliance guidance and interpretations of complex federal & state laws to support new insurance product development, new insurance product advertising, insurance ..
Job Information Humana Cloud Solutions Engineer 2 in Omaha Nebraska Description The Cloud Solutions Engineer 2 Implements organization's cloud strategy from a technical perspective, including design, planning, integration, maintenance and support ..
... 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..