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... The Senior Stars Improvement, Clinical Professional is responsible for the development, ... for the development, implementation and management oversight of the company's Medicare/Medicaid ... The Senior Stars Improvement, Clinical..
Description The Senior Portfolio Management Professional collaborates with the business portfolio ... and demand. The Senior Portfolio Management Professional work assignments involve moderately complex ... Description Summary The Senior Portfolio..
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... The Care Manager, Telephonic Nurse 2 , in a telephonic environment, ... The Care Manager, Telephonic Nurse 2 work assignments are varied and ... RN Care Manager, Telephonic Nurse..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ... optimal reimbursement. The Nurse Auditor 2 work assignments are varied and ... action. Responsibilities The Nurse Auditor 2 validates..
... The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, ... The Care Manager, Telephonic Behavioral Health 2 work assignments are varied and ... The Care Manager,..
... The Senior Demand and Portfolio Management Professional collaborates with the business portfolio ... The Senior Demand and Portfolio Management Professional work assignments involve moderately complex ... The Senior Demand..
... the Associate Director, IT Project Management, you will use your background ... background and experience in program management to lead and manage a ... The Associate Director, IT Project..
Description The Senior Health Information Management Professional ensures data integrity for claims ... for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex ... variable factors...
... the emotional, social, vocational, educational, health-related, developmental, and organizational concerns that ... lives. Responsibilities The EAP Counselor 2 addresses a wide range of ... and knowledge of general mental..
... Defense to administer the TRICARE health program for military members, retirees ... has strived to create better health outcomes and simplified experiences for ... of the Humana Military Care..
Description The Payment Integrity Professional 2 uses technology and data mining, ... financial recovery. The Payment Integrity Professional 2 work assignments are varied and ... with Humana. The Payment Integrity..
... Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, ... Senior Clinical Strategy and Practice Professional work assignments involve moderately complex ... factors. Responsibilities The Senior Behavioral..
Job Information Humana Care Manager, Telephonic Behavioral ... Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Davenport Iowa Description Humana ... Defense to administer the TRICARE health..
Description Humana's Claims Cost Management (CCM) organization is seeking a ... Payment Integrity-Clinical Audit team working remote anywhere in the US. As the Fraud & Waste ... Required Qualifications Bachelor's..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals ... involves processing referrals into medical management system with emphasis on accuracy ... answer provider/beneficiary inquiries. The..
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..
... The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term ... contracted working relationship with the health plan. The Senior Provider Engagement, ... The Senior Provider Engagement, Clinical..
... accounts. The Large Group Underwriter 2 work assignments are varied and ... guidance and pricing recommendations, gathering information, and consulting with customers and ... understanding of state-specific requirements and..
