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... Humana is seeking an experienced management professional to lead an interactive ... broad understanding of pharmacy, managed care, and specialty to develop and/or ... to mitigate cost while improving..
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... (YHA) is a Humana-owned Healthcare Management Company dedicated to improving clinical ... dedicated to improving clinical and quality outcomes by bridging the gap ... of excessive utilization of future..
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..
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..
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..
... a company focused on the health and well-being of the people ... Strategy Advancement for our Healthcare Quality Reporting and Improvement (HQRI) organization. ... that is responsible for improving..
... 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,..
Description The Director of Health Services for National Medicaid Clinical ... benefit administration determinations. The Director, Health Services requires an in-depth understanding ... delivery process. The Director of Health Services..
Description The Care Management Support Assistant 3 contributes to ... 3 contributes to administration of care management. Provides non-clinical support to the ... with resources appropriate for the care and..
... 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 Responsibilities The Care Management Support Assistant 2- ACD Referral ... involves processing referrals into medical management system with emphasis on accuracy ... to answer provider/beneficiary inquiries. The Care Management..
... leader and innovator in the health and wellness industry. A passionate ... culture. We're not just a health insurance company: our diverse lines ... in developing a robust integrated..
... 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..
... on medical background and reviews health claims. The Medical Director work ... issues regarding technical approach for project components, and work is performed ... experience Knowledge of the managed..
... policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations ... Compliance Program, and FMS patient care and administrative policies as the ... decisions to ensure..
... and authorizations under the Autism Care Demonstration (ACD). Under direct clinical ... include data entry into medical management systems, assigning appropriate providers as ... Autism Services Navigator (ASN), Utilization..
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..
18,799 Job Information Deloitte Senior Manager- Health Care/ Cloud App Modernization - in ... in Atlanta Georgia App Modernization Health Care Senior Manager - AWS Deloitte is an ... strategic..
