Government Contract Management Jobs in Wyoming

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 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 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 ..

... changes that assure compliance with contract obligations. Responsible for regular and ... governmental agencies. Maintains relationships with government agencies. Makes decisions on moderately ... of legal experience, ideally including..

Job Information Humana Provider Data Management & Contract Load Professional in Riverton Wyoming ... Riverton Wyoming Description Provider Data Management & Contract Load Professional 2 is responsible ... provider accounts...

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 ..

... 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..

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 ..

... Responsibilities Our Department of Defense Contract requires U.S. citizenship for this ... Provide security systems and tools management related to the cloud technologies ... Qualifications Our Department of Defense..

... plans for the scope of management that are aligned with the ... best practices for strategy and management. Also includes ensuring professional development ... working in Military Treatment Facilities,..

... let your creative ideas, relationship management and sales ability shine? If ... the day-to-day selling and/or account management activity. Accountable for achieving new ... 3 years of strong relationship..

... Qualifications Our Department of Defense contract requires U.S. Citizenship Successfully receive ... Successfully receive interim approval for government security clearance (eQIP - Electronic ... align with strategic objectives Applied..

Summary The Branch Manager is responsible for managing the day-to-day sales activities of their branch and overall origination processes within defined targeted goals. This position will work the loan officer’s to ..

Description The Senior IT Compliance Professional audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information ..

... and clinical compliance, and case management. Serve as a Humana Military/Humana ... clinical elements. Perform telephonic case management with beneficiaries throughout the United ... focus upon policy and utilization..

Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..

... of the Humana Military Case Management team; providing a comprehensive, holistic ... approach for Behavioral Health Case Management throughout the continuum of care. ... As part of the Case..

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 ..

... through partnership with the East Contract claims processing subcontractor. The role ... business initiative, system issue, or government directed change. Daily activities include: ... modification and assist with change..

Summary The Loan Officer is responsible for making sales of RoundPoint loan packages though proactively soliciting and self-sourcing new residential mortgage business to meet RoundPoint’s loan quality and production goals. The ..

Job Information Humana Senior Compliance Professional (PBM & Pharmacy) in Riverton Wyoming Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex ..

... to assignments. Department of Defense contract requires U.S. citizenship Requires process ... citizenship Requires process to obtain Government Security Clearance, eQIP, to work ... Clearance, eQIP, to work on..

Job Information Humana Senior Compliance Professional (Network & Credentialing) in Riverton Wyoming Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex ..