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Description: Want to join an exciting and growing field? Become a caregiver, no experience required. We value our caregivers so we make sure that our compensation rates are competitive with wages ..
Description The Community Health Worker/Care Management Support Professional 1 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or ..
Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to ..
... 2 years of post-degree clinical experience in behavioral health setting Case ... behavioral health setting Case management experience Intermediate to advanced computer skills ... to advanced computer skills and..
Description The Claims Research & Resolution Professional 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..
Description Humana Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA documentation standards, BH Clinical Practice ..
Description The Social Determinants of Health (SDOH) Coordinator understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed ..
... or 5 years related work experience in healthcare quality improvement. 2 ... or more years of management/leadership experience. Understanding of healthcare quality measures ... measures STARS, HEDIS, etc. Prior..