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Description The Inbound Contacts Representative 4 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 4 assumes ownership and leads advanced and highly specialized administrative/operational/customer ..
... provide contracting support and full administration of those contracts Required Qualifications ... Bachelor's Degree in Business, Finance, Health Care or a related field ... Qualifications Master's Degree in Business..
... The Care Manager, Telephonic Behavioral Health 2 , in a telephonic ... The Care Manager, Telephonic Behavioral Health 2 work assignments are varied ... The Care Manager, Telephonic Behavioral..
... insurance company with elements of health to a healthcare company with ... to implement a new Member Administration Platform and further our evolution ... a member of the Member..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
... Shift- RN Utilization Management Behavioral Health Nurse 2 - Compact License ... Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing ... documentation and communication of behavioral..
Description The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing ... documentation and communication of behavioral health services and/or benefit administration determinations. The Utilization Management Behavioral ... determinations. The..
Description Humana is rapidly evolving from an insurance company with elements of health to a healthcare company with elements of insurance. We are embarking on an ambitious journey to implement a ..
... Humana Senior Care Manager, Behavioral Health (BCBA) in Riverton Wyoming Description ... The Senior Care Manager, Behavioral Health (BCBA) is responsible for the ... (BCBA) is responsible for the..
Description The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
Description The UM Specialist contributes to administration of utilization management. The UM Specialist performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. Responsibilities The ..
... function or segment. Responsibilities The Health Informatics team is looking for ... for executing and delivering on Health Informatics business initiatives. The Director ... business initiatives. The Director of..
Description The Senior Installation Administration Professional establishes and manages relationships ... certifications issued. The Senior Installation Administration Professional work assignments involve moderately ... The Group Medicare Senior Installation Administration Professional..
Description The Health Information Management Professional ensures data ... integrity for claims errors. The Health Information Management Professional work assignments ... courses of action. Responsibilities The Health Information Management Professional..
Description The Installation Administration Professional 2 establishes and manages relationships with internal and external business partners, Coordinates end to end process from the point of sale to members loaded in system, ..
Description The Director, STARS Improvement develops, implements, and manages oversight of the company's Medicare/Medicaid Stars Program. Directs all Stars quality improvement programs and initiatives for the Intermountain Region (OR, WA, ID, ..
... contracted working relationship with the health plan. The Supervisor, Provider Engagement ... Engagement represents the scope of health plan/provider relationship across such areas ... quality and clinical management, population..
... for an organization that provides health insurance. Updates, maintains, and reviews ... things like social determinants of health They love that we are ... on social distancing and reduce..
Description The Senior Policy Administration Professional creates, reviews, and maintains catalog of company policies and procedures. The Senior Policy Administration Professional work assignments involve moderately complex to complex issues where the ..
Description The Data and Reporting Professional II generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Riverton Wyoming Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..
Job Information Humana Credentialing Assistant (Remote Nationwide) in Riverton Wyoming Description Come be a part of our Humana's Inside Sales Organization Humana's Inside Sales organization is in search for a Credentialing ..
Job Information Humana UM Administration Coordinator 2 in Riverton Wyoming ... Riverton Wyoming Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM ... of utilization..
