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Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
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... Certified Diabetes Care and Education Specialist-Remote-US in Billings Montana Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
... of coding practices and clinical documentation, grievance and appeals processes, and ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..
Department: Student Affairs Position: Full-time, 10-month position with complete benefit package Salary: $20.00-$22.00 hourly (Dependent on experience) Union Affiliation: MFPE Posting Date: June 2022 Description The Student Counselor’s primary duties are ..
Job Description Definition TO APPLY Please complete all sections of the online application, even if a resume is submitted. Please include with your completed application the following attachments: Cover Letter, Resume ..
Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... Qualifications Bachelor's degree or significant..
Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Billings Montana Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and scope ..
Job Information Humana Medical Director - Medicare Pharmacy Appeals in Billings Montana Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments involve ..
Job Summary: Provides direct and indirect patient care in the Urgent Care setting. Provides care that reflects initiative, flexibility and responsibility indicative of professional expectation with a minimum of supervision. Determines ..
Job Information Humana FP&A Lead, Medicaid Market in Billings Montana Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
... Project ECHO (Extension for Community Healthcare Outcomes) is an evidence-based, hub-and-spoke ... health access disparities and support healthcare providers in rural and frontier ... for three projects: Disease Intervention..
Job Information Humana Clinical Formulary Strategy Pharmacist - Work At Home in Billings Montana Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug development pipeline, and medical literature, while providing clinical ..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Billings Montana Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
Application instructions are located at the bottom of the page. Please apply directly through the University of Montana's career portal UM Jobs at https://umjobs.silkroad.com/ for positions at the University of Montana ..
Job Summary: Provides direct and indirect patient care in the office/clinic setting. Provides care that reflects initiative, flexibility and responsibility indicative of professional expectation with a minimum of supervision. Determines priorities ..
... is looking for an experienced Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... areas Bachelor's degree or significant..
Job Information Humana Medicare Appeals and Grievance Medical Director in Billings Montana Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
... invites applications for a Compensation Specialist (Personnel Associate II) to join ... UM mission. As the Compensation Specialist, you will directly assist the ... work activities. As the Compensation..
Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..