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Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
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, ..
Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..
Description In this role you will join a team dedicated to creating and maintaining a stable software environment and ensuring software functionality/compatibility for multiple platforms. To do so you will utilize, ..
Description Introduction The 3rd Party Segment Lead will execute and lead a team of risk professionals in conducting cyber and regulatory-driven assessments and oversight of key 3rd Parties across designated business ..
Description The Senior Technology Leadership Professional collaborates with Associate VP, Directors and Managers on quality goals and initiatives in all aspects of software or hardware product delivery and performance. You will ..
Job ID 21000LRGAvailable Openings 1PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigned ..
Description Reporting to the Procurement Director - Strategy, Process Excellence and Analytics, the Senior Process Improvement Professional - Process Excellence is accountable for driving excellence in Source to Pay processes and ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Senior Market Consultation/Partnership Professional promotes and improves the quality and measurement of care delivery programs with a market(s). The Senior Market Consultation/Partnership Professional work assignments involve moderately complex to ..
... and kidney disease and provides education appropriate to patient’s learning needs ... process. Provides patient specific detailed education to patient/family/caregiver regarding nutritional status, ... members in provision of Pre-ESRD..
Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..
Description The Senior Product Marketer Develops, directs, and executes the go-to-market approach for a significant product or product category. The Senior Product Marketer work assignments involve moderately complex to complex issues ..
Job Information Humana UM Administration Coordinator 2 (Schedule: Monday - Friday) - Remote in Ridgeland Mississippi Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration ..
Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..
... 2 Certified Diabetes Care and Education Specialist-Remote-US in Ridgeland Mississippi Description The ... The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... comprehensive and member-centered..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..