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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 The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..
Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..
Job Information Humana Senior Professional, Sales and Marketing Support - Salt Lake City, UT (including MT, WY & ID territory) in Riverton Wyoming Description Are you passionate about contributing to the ..
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 ..
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 ..
... 2 Certified Diabetes Care and Education Specialist-Remote-US in Riverton Wyoming Description The ... The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... comprehensive and member-centered..
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 The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
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 ..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Riverton Wyoming Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..
Description We are seeking a driven individual to support the Stars program to positively impact HEDIS performance through delivery of strategic initiatives and operational excellence. The role will support the preventive ..
Job Information Humana Senior Contract Tools, Education, Processes Professional - Remote in Riverton Wyoming Description The Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and protocol, case studies, ..
