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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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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..
... 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..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments are..
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..
... with organizational quality and population health goals and ensuring compliance with ... responsibility to operate a quality management infrastructure which promotes member safety, ... safety, quality of care, improves..
... 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..
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...
Description The Associate Director, Care Management leads teams of nurses and ... teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires a..
... 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 Cincinnati Ohio Description Humana ... Defense to administer the TRICARE health..
Description The Behavioral Health Parity Compliance Lead will play ... role in the oversight and management of our Mental Health Parity Compliance Program. Responsibilities This ... for monitoring all related..
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..
... 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..
... 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..
... 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..
... SeniorBridge/Humana is seeking a Care Management Support Assistant. This professional contributes to the successful administration ... better. We provide concierge care management, private duty nursing, and personal ... to..
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..
... 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..
