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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 ..
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..
Job Information Humana Manager, Pharmacy and Medical Trend in Washington District Of Columbia Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy ..
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 ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
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 ..
... of 6 Product Owners and Project Managers Requirements gathering, project management oversight, user acceptance testing, ... and education. Create and present project status updates, financial impacts, etc. ... Qualifications..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Washington District Of Columbia Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of ..
Job Information Humana Pharmacy Claims Specialist, Remote in Washington District Of Columbia Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative ..
Description Job Description Summary 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 ..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team uses advanced scientific techniques, ..
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 Information Humana Manager of Release Engineering, Remote in ... District Of Columbia Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..
Job Information Humana Manager, Fraud and Waste-Remote US in ... District Of Columbia Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Job Information Humana Pharmacy Claims Representative in Washington District Of Columbia Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 ..
Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management Engineering works within ... schedules and goals. Responsibilities The Manager, Release Management Engineering..
Job Information Humana Manager, Operations, Release and Process in ... District Of Columbia Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..
Job Information Humana Manager, Release Management, Remote in Washington ... District Of Columbia Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..
Job Information Humana Service Alignment Manager (SAM) - Remote, nationwide in ... Columbia Description The Service Alignment Manager (SAM) is an individual contributor ... Technology experience with PPS systems, project..