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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 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 ..
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 Pharmacy Claims Specialist, Remote in Phoenix Arizona Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. ..
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, 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..
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 ... in Phoenix Arizona Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..
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? ..
Job Information Humana Manager, Release Management, Remote in Phoenix ... in Phoenix Arizona Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..
OverviewnThe Food Safety Manager oversees Sprouts Farmers Markets policies, ... us apart.n nThe Food Safety Manager will be responsible for food ... such standards. The Food Safety Manager will oversee..
Job Information Humana Manager, Operations, Release and Process in ... in Phoenix Arizona Description The Manager, Release Management Engineering manages cross-organizational ... into the production environment. The Manager, Release Management..
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 ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
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 ..
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 ..
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 ..
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..
... 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..
... 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..
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, ..