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... member's physical, environmental and psycho-social health issues. Identifies and resolves barriers ... in achieving and maintaining optimum health. We provide telephonic outreach to ... to assess and support their..
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... for members of Medicare Advantage health plans and is committed to ... conditions. The practices also provide health education and value-added, well-being services ... and community members improve their..
Company DescriptionEyeglass World is part of National Vision, one of the largest and fastest-growing optical retailers in the United States. Eyeglass World has over 100 locations across the United States and ..
... on medical background and reviews health claims. The Medical Director work ... management, discharge planning and/or home health or post acute services such ... organizations, hospitals/ Integrated Delivery Systems,..
Job Information Humana CMO - Regional VP, ... Humana CMO - Regional VP, Health Services - Intermountain Region in ... Utah Description The Regional VP, Health Services relies on medical..
Description The Behavioral Health Medical Director responsible for behavioral ... Medical Director responsible for behavioral health care strategy and/or operations. The ... strategy and/or operations. The Behavioral Health Medical Director..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
Job Information Humana Pre- Authorization Nursing Supervisor-- ... management processes, entering/maintaining pertinent clinical information in various medical management systems. ... Qualifications Bilingual (Spanish) strongly preferred Health plan experience Prior Medicare/Medicaid..
Job Information Humana Senior Fraud and Waste ... Waste, and Abuse in the Health Care Industry? If this resonates ... understanding of business operations Additional Information COVID Vaccination Policy: For..
... in autonomous collaboration with other health professionals. Cooperates with other health care personnel to coordinate patient ... needs in regards to their health care, provides education as directed .....
Description The Lead Behavioral Health Medical Director oversees the work ... reviews themselves. The Lead Behavioral Health Medical Director may also lead ... modeling, best practice with behavioral health membership..
... iCare is seeking an Enrollment Specialist who will support the iCare ... BadgerCare Plus. Responsibilities The Enrollment Specialist is responsible for iCare enrollment ... maintenance of the iCare eligibility..
... on medical background and reviews health claims. The Medical Director work ... Humana Government Business's (HGB) Behavioral Health Medical Director will provide clinical ... provide clinical oversight to Behavioral..
... on medical background and reviews health claims. The Medical Director work ... management, discharge planning and/or home health or rehab Preferred Qualifications Medical ... hospitals and experience, working with..
Job Information Humana Medical Director - Medicare ... management organizations, hospitals/Integrated Delivery Systems, health insurance, or other healthcare providers, ... Advantage, managed Medicaid, or Commercial health insurance Experience with national..
... strategy by collecting broad based information and gathering resources and data ... order to prepare the Behavioral Health( BH) Clinical Team with the ... corrected facility, MD, and diagnosis..
Job Information Humana FP&A Lead, Medicaid Market ... to provide accurate and timely information for strategic and operational decisions. ... compiles, verifies, and analyzes financial information and economic indicators so..
Job Information Humana Fraud and Waste Investigator ... Waste, and Abuse in the Health Care Industry? If this resonates ... understanding of business operations Additional Information COVID Vaccination Policy: For..
Job Information Humana Medicare Appeals and Grievance Medical Director in Sandy Utah Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that will ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
