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... overseeing the vendor's claims processing operations and systems. The Director, Claims Oversight plays a vital ... comprised of four units: claims operations, claims systems change management, claims ... Medical..
Description The Director, Provider Reimbursement is responsible for ... the organization to include Network Operations, Provider Administration, Claims, and IT. ... team of associates. Responsibilities The Director, Provider Reimbursement develops..
u003cpu003eu003cstrongu003eAdler University, Chicago u003c/strongu003eis seeking a Director for the M.A. Rehabilitation Counseling (MACR) Program which is currently accredited by the Council for Accreditation of Counseling Related Programs (CACREP).u0026nbsp; This is a ..
Manages, coordinates and performs nursing care with compassion and care for an assigned group of patients and their families and incorporate preventative measures as directed by Registered Nurse. Job Requirements To ..
Description The Medical Director actively uses their medical background, ... work. Responsibilities Title: Commercial Medical Director Location: Work At Home - ... weeks. Job Summary The Medical Director's work includes..
BONUS!! *New non-slip shoes & fresh scrubs provided for new employees!* JOB TITLE: Health Center Resident Assistant DEPARTMENT: The Springs FLSA STATUS: Non-Exempt REPORTS TO: Assistant Director of Nursing & Nurse ..
Description The Associate Director, Utilization Management Nursing utilizes clinical ... benefit administration determinations. The Associate Director, Utilization Management Nursing requires a ... grow, the National Medicaid Clinical Operations team is..
Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future. Within Strategy Operations, you will ..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Job ID 21000FOZAvailable Openings 1 PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of ..
Description The Director of Product Management for Clinical ... business acumen. Responsibilities As the Director of Product Management for Clinical ... and services. Partners closely with operations, vendors, customer success..
... Humana is a Fortune 60 healthcare company with a history of ... top place to work in healthcare, especially in areas of Diversity ... a personalized, seamless and easy..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..
u003cpu003eAdler University is currently recruiting for a Program Director, for its MA, I/O Psychology Program. The Program Director, MA, I/O Psychology Program serves as the administrative head of the Master of ..
u003cpu003eAdler University is currently recruiting for a Program Director, for its Masters of Arts in Psychology - Specialization in Military Psychology Program. The Program Director serves as the administrative head of ..
Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. ..
Description The Sr. Consumer Experience Professional performs data analysis supporting learning plans via management and usage of consumer behavioral, demographic, and attitudinal data. The Sr. Consumer Experience Professional work assignments involve ..
Description The Lead Product Manager for Specialty products leads all phases of the product life cycle for Dental, Vision and Life products, from inception to introduction into the marketplace. Responsibilities Position ..
Description The Director, Process Improvement analyzes, and measures ... quantifiable business process improvements. The Director, Process Improvement requires an in-depth ... function or segment. Responsibilities The Director, Process Improvement researches..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
Description The Director of Health Services for National ... Services for National Medicaid Clinical Operations utilizes clinical skills to support ... and/or benefit administration determinations. The Director, Health Services requires..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Chicago Illinois ... Chicago Illinois Description The Associate Director, Compliance Nursing reviews utilization management ... waste, and abuse. The Associate Director,..
