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Description The Care Manager, Telephonic Nurse 2 , in ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The Care Manager, Telephonic..
... The Associate Director, Clinical Release Management and Configuration Management will be responsible for leading ... responsible for leading the release management lifecycle for three enterprise scale ... focused on..
... requested services, requested level of care, and/or requested site of service ... associates, and possible participation in care management. The clinical scenarios predominantly arise ... predominantly arise from inpatient,..
... IHWA partners, Data Governance, Digital Health and Analytics, Clinical Product, Clinical ... and Analytics, Clinical Product, Clinical Health Strategies and IT to create ... testing as appropriate Developing high..
... on medical background and reviews health claims. The Medical Director work ... experience Knowledge of the managed care industry including Medicare, Medicaid and ... experience leading teams focusing on..
... Utilizes broad understanding of managed care and PBM knowledge to develop, ... mitigate cost trend and improve health outcomes. The Clinical Pharmacy Lead ... wholly owned hospice and palliative..
... Defense to administer the TRICARE health program for military members, retirees ... has strived to create better health outcomes and simplified experiences for ... and other military healthcare programs...
Description The Product Management Principal is responsible for all ... ensure effective monitoring of product health and drives customer/stakeholder feedback and ... and portfolio Epics. The Product Management Principal understands..
Description Humana's Enterprise Clinical Management team needs your clinical, business ... identify clinical opportunities to improve health outcomes and improve the value ... and improve the value of care for..
... on medical background and reviews health claims. The Medical Director work ... requested services, requested level of care, and/or requested site of service ... associates, and possible participation in..
Description The Senior Product Manager Conceives of, develops, delivers, and ... customer use. The Senior Product Manager work assignments involve moderately complex ... factors. Responsibilities The Senior Product Manager Leads..
Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic ... with resources appropriate for the care and wellbeing of members. The ... and wellbeing of members. The..
... making real improvements in member health outcomes. We're strategic and analytical, ... insights working within a Managed Care Plan. An operationally focused leader, ... cadence of analytics and performance..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., ... new brand for a primary care medical group practice with centers ... and Texas. CenterWell Senior Primary Care has..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for ... and monitoring of the Autism Care Demonstration (ACD) including coordination of ... Member Plan (EFMP), auditing for..
Description The Lead Product Manager Conceives of, develops, delivers, and ... customer use. The Lead Product Manager works on problems of diverse ... substantial. Responsibilities CenterWell Senior Primary Care, a..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in ... Defense to administer the TRICARE health program for military members, retirees ... has strived to create..
Description The Senior Product Manager, Digital, will contribute to digital ... leader and innovator in the health and wellness industry. A passionate ... culture. We're not just a health insurance..
... Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... List development and governance, Mental Health Parity, Clinical compliance, and quality performance and staffing management. Detailed Responsibilities..