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... - Minimum of 4-6 years Project Management experience, with experience in ... experience, with experience in the Healthcare Insurance industry. PMP Certification Required! ... -claims experience would be preferred..
... is currently recruiting for a Project Manager for our healthcare client located in Newark, NJ. ... client located in Newark, NJ. Project Manager: Description: Pricing/Reimbursement tools and methodologies .....
At Bristol Myers Squibb, we are inspired by a single vision - transforming patients' lives through science.In oncology, hematology, immunology and cardiovascular disease - and one of the most diverse 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,..
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 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 of Release Engineering, Remote in ... City New Jersey Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..
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 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 ..
Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. Responsibilities There are 4 shifts available for this role. All ..
Ensure staff reports statistical data in an accurate and timely manner; and departmental compliance is reported accurately. Responsible for monthly, quarterly, and annual reports to various reporting agencies both internal and ..
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 ... City New Jersey Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
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..
Job Information Humana Manager, Operations, Release and Process in ... City New Jersey 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 ... Livingston New Jersey Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Job Information Humana Manager, Fraud and Waste-Remote US in ... York New York Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Job Information Humana Manager, Release Management, Remote in Jersey ... City New Jersey Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..
Job Information Humana Manager, Pharmacy and Medical Trend in Jersey City New Jersey Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy ..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Jersey City New Jersey Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of ..