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Associate In-House Counsel Responsibilities: Regularly attend meetings, including Board meetings, committee meetings and department meetings as assigned. Work closely with the In-House Counsel to: ensure that the goals and objectives of ..
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..
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,..
... 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 The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
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 ..
... production, purchasing/procurement activities, or building/property management in an industrial setting. For ... production, purchasing/procurement activities, or building/property management in an industrial setting. For ... production, purchasing/procurement activities, or building/property..
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 Manager, Compliance - Agent Investigation Unit in Omaha Nebraska Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; applies ..
... Regulatory Compliance Counsel and senior management actions to be taken as ... copies to upper level Company management and Regulatory Compliance Counsel for ... laws or as directed by..
... the role supports post-award grant management as needed. Research and facilitate ... proposals and outcome reporting to government, foundations, and corporate funders. Collaborate ... submission of proposal documents. Grant..
... to the Vice President, Medical Management Operations and serves as a ... functions related to HGB's Care Management programs to include predictive models, ... corresponding support. Also leads Utilization..
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 ..
... of variable factors. Responsibilities Humana Government Business's (HGB) Behavioral Health Medical ... the day-to-day administration and strategic management of behavioral and physical health ... physical health services, including utilization..
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..
General Counsel The candidate will focus on owner contracts, federal contracting, subcontracts, Joint Venture/teaming arrangements, NDAs, insurance/bonding, litigation management and judgement collection, and labor/HR/OSHA regulations with potential for real estate transactions ..
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..
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..
Job Information Humana Provider Data Management & Contract Load Professional in Omaha Nebraska ... Omaha Nebraska Description Provider Data Management & Contract Load Professional 2 is responsible ... provider accounts...
... 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..
... highly specialized professional associates. Our Government contract requires US CItizenship for this ... Engineering initiatives Team building and management Required Qualifications: Our Government contract requires US Citizenship for this..
... 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..
Job Information Humana Vendor Management Lead (Remote US) in Omaha ... looking for an experienced Vendor Management Lead to join working remote ... in the US. The Vendor Management Lead..