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Description The UM Specialist contributes to administration of utilization ... of utilization management. The UM Specialist performs varied activities and moderately ... As a UM (Utilization Management) Specialist you will..
Description The Supervisor, Inbound Contacts represents the company by addressing incoming telephone, digital, or written inquiries. The Supervisor, Inbound Contacts works within thorough, prescribed guidelines and procedures; uses independent judgment requiring ..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Description The Site Reliability Engineering (SRE) Lead Technology Leadership Professional - Pharmacy Dispensing Solutions is responsible for all aspects of the production environment support strategy, Operational Excellence strategy and execution, and ..
Description Interested in working from home? Interested in being and advocate and making a difference in the lives of others. Join our contact center and experience a supportive team environment as ..
... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..
... Ltd. OBJECTIVES/PURPOSE The Medical Support Specialist determines donor eligibility to donate ... test results. The Medical Support Specialist works under the direct supervision ... issues. Ideally, the Medical Support..
Job Information Humana Lead, Portfolio Management in Riverton Wyoming Description Responsibilities Job Description The Lead, Portfolio Management role collaborates with Customer Experience Center Platform (CECP) leadership and external teams to support ..
Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..
Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
... Qualifications Bachelor's Degree in Business, Healthcare Administration, Mathematics and/or related field ... implementation technical experience Medicaid experience Healthcare and/or managed care experience Ability ... job as we are a..
... Phoenix, Arizona (Recruiter) Talent Acquisition Specialist Salina Regional Health Center Salina, ... Raleigh, North Carolina Employee Relations Specialist - Full-time, Mon-Fri, 8:30am-5:00pm WakeMed ... York, New York Employee Relations..
Description Interested in working from home? Interested in being and advocate and making a difference in the lives of others? Join our contact center and experience a supportive team environment as ..
Description The Lead Technology Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Lead Technology Leadership Professional works on problems of diverse scope and ..
... infrastructure monitoring as well as application performance monitoring including SLAs/KPIs and ... cloud environment. Proficiency in understanding Healthcare related data Solid understanding of ... technologies in use in the..
Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..
... Health Mesa, Arizona NEW! NEW! Healthcare Scheduler Banner Health Sun City ... New York NEW! NEW! Denials Specialist - Remote (Sign On Bonus ... Representative Banner Health APPLY NOW..
... Certified Diabetes Care and Education Specialist-Remote-US in Riverton Wyoming Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
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 Lead Technology Leadership Professional in Riverton Wyoming Description The Lead Technology Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Lead ..
