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Contract Specialist For GS-05: The candidate ... assembling contracts; and performing limited contract administration. For GS-09: The candidate ... must demonstrate the following: applying contract and procurement regulations to prepare..
Description Responsibilities The Utilization Management Nurse 2 will be responsible ... quality and clinical compliance with contract requirements as outlined in the ... codes. Our Department of Defense Contract requires..
... includes data entry into medical management system, assigning an appropriate provider, ... diagnoses and/or referral requiring Case Management, and pend to appropriate point ... discretion. Our Department of Defense..
Description Responsibilities The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism ..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral ... involves processing referrals into medical management system with emphasis on accuracy ... answer provider/beneficiary inquiries. The Care Management Support..
Description The Care Management Support Assistant 3 contributes to ... contributes to administration of care management. Provides non-clinical support to the ... wellbeing of members. The Care Management Support Assistant..
Job Information Humana Senior Provider Contracting Professional - TRICARE Behavioral Health in Ridgeland Mississippi Description Responsibilities The position will provide corporate support to the Director of Provider Contracting and is responsible ..
Logistics Management Specialist For GS-05: The candidate ... of supply, to include inventory management, inventory accuracy and warehousing; 2) ... of supply, to include inventory management, inventory accuracy and warehousing,..
... by virtue of our TRICARE contract in which we provide healthcare ... leader to join the Humana Government Business (HGB) team as Associate ... a renewal of the TRICARE..
Description The Utilization Management Behavioral Health Professional 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... of action. Responsibilities The Utilization Management Behavioral Health..
... to substantial. Responsibilities The Utilization Management (UM) Process Improvement Lead analyzes ... and user groups for Medical Management IT systems changes and enhancements, ... to ensure alignment between medical..
Job Information Humana Provider Data Management & Contract Load Professional in Ridgeland Mississippi ... Ridgeland Mississippi Description Provider Data Management & Contract Load Professional 2 is responsible ... provider accounts...
Description Humana is seeking a pharmacy contracting professional to solicit and maintain network agreements for all pharmacy lines of business. The pharmacy contracting professional 2 will be responsible for contracting efforts ..
Job Information Humana Vendor Management Lead (Remote US) in Ridgeland ... looking for an experienced Vendor Management Lead to join working remote ... in the US. The Vendor Management Lead..
Description The Care Management Support Assistant 2 contributes to ... contributes to administration of care management. Provides non-clinical support to the ... wellbeing of members. The Care Management Support Assistant..
Description CenterWell Pharmacy is seeking a pharmacy contracting professional to solicit and maintain network agreements for all pharmacy lines of business. The pharmacy contracting professional 2 will be responsible for contracting ..
Assistant Counsel - Government Services Duties: Reviews and provides legal advice regarding Requests for Proposal/Qualifications and responses to same. Prepares legal documents, including contracts and legal memoranda. Reviews and responses to ..
Site Contracts Manager Responsibilities: Management of all Subcontractor and Supplier ... Subcontractor and Supplier Change Orders Management of all Subcontractor and Supplier ... Log and mitigating actions. Provide contract summaries..
... and possible participation in care management. The clinical scenarios predominantly arise ... health, or disease or care management. Medical Directors support Humana values, ... in teams focusing on quality..