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Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
Description The Senior Project Manager manages all aspects of a ... manages all aspects of a project, from start to finish, so ... and within budget. The Senior Project Manager..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Phoenix Arizona Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..
Job Description The Manager, Business Analysis (Individual Contributor) is the CSS Plan Lead who oversees the implementation of QNXT configuration requirements through strategy and development of information solutions to ensure operational ..
... of the MRA team, the Manager will work closely with market ... based on advanced knowledge/experience. The Manager, Risk Adjustment works within specific ... approach, resources, schedules and goals.The..
Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..
Job Information Humana Manager, Pharmacy and Medical Trend in Phoenix Arizona Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and medical, ..
Job Information Humana Call Center Pharmacy Claims Technician, Remote in Phoenix Arizona Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative ..
Job Description Responsible to support Business Owners and Leads, using technical and analytical expertise along with claims processing knowledge, to deliver key analytical reports and recommendations. The individual will primarily focus ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Flagstaff Arizona Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Description Benefits About the Position Are you looking for an exciting new challenge? Do you have a lot of legal background, know a lot about digital documentation, technology, and improving processes? ..
... to carry out and complete project activitiesu003c/liu003enu003cliu003eAttend staff meetings and serve ... staff meetings and serve on project teams as requiredu003c/liu003enu003cliu003eMaintain knowledge and ... support on a PMO Waterfall..
Job Description As the Medicare Pharmacy Audit Programs Project Manager you will be responsible for administering Medicare Part D Pharmacy Audit programs. In this role, you will be expected to familiarize ..
Job Information Humana Call Center Pharmacy Claims Technician in Phoenix Arizona Description Job Description Summary The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Tucson Arizona Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
