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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 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 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 of Release Engineering, Remote in ... Albany New York Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Albany New York Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the ..
Job Information Humana Manager, Release Management, Remote in Albany ... Albany New York Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..
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, Fraud and Waste-Remote US in ... Albany New York 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,..
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 ..
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..
... immediate need for a full-time Claim Edit and Denial Specialist. Responsibilities ... position is responsible for resolving claim edits and rejections related to ... experience working facility coding related..
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 ..
Job Information Humana Manager, Operations, Release and Process in ... Albany New York 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 Albany New York Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... Syracuse New York Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
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 ..
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..
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 ..
