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Job Information Humana Senior Project Manager - Medical Records Management Team in Newport ... Island Description The Senior Project Manager manages all aspects of a ... within budget. The Senior..
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Job Information Humana Medicare/Medicaid Program Manager -- Remote in Newport Rhode ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..
... Humana Medicare Appeals and Grievance Medical Director in Newport Rhode Island ... Newport Rhode Island Description The Medical Director relies on fundamentals of ... C Line of Business. The..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors Responsibilities The..
Job Information Humana Lead Product Manager - Group Dental, Vision and ... Island Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors. Responsibilities The..
... ECM organization is seeking a Medical Director of Clinical Informatics. This ... positively impact trend including member experience, health outcomes and costs: Understand ... Understand the member/patient & provider..
Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... Saturday and Sunday. Responsibilities The Medical..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work...
... Stars and Risk Adjustment National Medical Director in Newport Rhode Island ... nationally. This role relies on medical background, business acumen, and industry-standard ... Stars and Risk Adjustment National..
Description The Medical Director's primary responsibility is the ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of a..
Description The Medical Director relies on fundamentals of ... and per diem requests. The Medical Director provides medical interpretation and determinations whether services ... some cases) contracts. Responsibilities The Medical..
Job Information Humana Medical Director - Medicare Pharmacy Appeals ... Newport Rhode Island Description The Medical Director relies on clinical background ... reviews Medicare drug requests. The Medical director work..
Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..
Description The Behavioral Health Medical Director makes determinations regarding prior ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical Directors..
Description Job Description Summary The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations ... conferences, and other reference sources. Medical Directors will learn Medicare and ... their daily..
... Humana Specialty Pharmacy RX Enrollment Manager in Newport Rhode Island Description ... Rhode Island Description Responsibilities The Manager, Consumer Engagement contributes to business ... other managers across the department...
Description The Lead Behavioral Health Medical Director oversees the work of ... oversees the work of 2 Medical Directors who conduct clinical case ... themselves. The Lead Behavioral Health Medical..
