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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..
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..
Job Information Humana Cloud Solutions Engineer 2 in Troy Michigan Description The Cloud Solutions Engineer 2 Implements organization's cloud strategy from a technical perspective, including design, planning, integration, maintenance and support ..
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 ..
Job Information Humana Provider Data Management & Contract Load Professional in Troy Michigan ... Troy Michigan Description Provider Data Management & Contract Load Professional 2 is responsible ... provider accounts...
Attorney, Aerospace & Defense The candidate' must have experience in advising clients on issues in government and commercial contracts involving A&D matters, drafting legal memoranda, bid protests, REAs and claims, and ..
... network operations, access to care, Defense Health Agency/TRICARE Health Plan policy, ... network operations, access to care, Defense Health Agency/TRICARE Health Plan policy, ... Required Qualifications Our Department of..
... 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..
... 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 Vendor Management Professional 2 in Troy Michigan ... Michigan Description Responsibilities The Vendor Management Professional 2 works as liaison ... vendors and organization. The Vendor Management Professional..
Job Information Humana Senior Provider Contracting Professional - TRICARE Behavioral Health in Troy Michigan Description Responsibilities The position will provide corporate support to the Director of Provider Contracting and is responsible ..
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..
Job Information Humana Supervisor, Credentialing in Troy Michigan Description Responsibilities The Supervisor, Credentialing Operations is responsible for supervising activities associated with certification and recertification of providers in the TRICARE East Region. ..
Job Information Humana Project Management Lead in Troy Michigan Description ... beneficiaries for the Department of Defense's leading healthcare contractor! The Project ... leading healthcare contractor! The Project Management Lead..
... 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..
... 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..
... 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 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 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..
Job Information Humana Senior Software Engineer - SSIS/ETL in Troy Michigan Description Responsibilities The Senior Software Engineer standardizes the quality assurance procedure for software. Oversees testing and debugging and develops fixes. ..
Job Information Humana Senior Technology Implementation Professional (Remote-Nationwide) in Troy Michigan Description The Senior Technology Implementation Professional delivers new technological solutions to meet business needs within a specified scope while aligned ..