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... WA RN LICENSE The Care Manager, Telephonic Nurse 2 , in ... being of members. The Care Manager, Telephonic Nurse 2 work assignments ... of action. Responsibilities The Care..
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... regular connections to the larger Finance and Analytics team. Responsibilities The ... This person will work with Finance and Analytics to gather and ... Qualifications Bachelor's degree ideally in..
... This person will work with Finance and Analytics to gather and ... Qualifications Bachelor's degree ideally in finance, accounting or similar field 3 ... years of experience in a..
Description The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or ..
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 ..
... Deloitte ConvergeHealth Patient Services - Manager in Columbus Ohio ConvergeHealth Patient ... Columbus Ohio ConvergeHealth Patient Services Manager ConvergeHEALTH is a part of ... and supports data-driven transformation of..
Description MUST BE BILINGUAL: CHINESE/ENGLISH (written and spoken proficiency) MUST HAVE WA RN LICENSE The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and ..
Job Information Humana Manager, Behavioral Provider Contracting - Remote in Cincinnati Ohio Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers and ..
... (CCM) organization is seeking a Manager, Fraud & Waste to join ... As the Fraud & Waste Manager at Humana, you will support ... that our members receive quality..
Job Information Humana Director Medicaid Provider Services (State of OH) in Cincinnati Ohio Description The Director Medicaid Provider Services oversees the plan's strategic provider services, provider engagement and network development. They ..
Description The Large Group Medical Underwriter computes rates for both renewing and prospective moderate to complex group accounts. The Large Group Underwriter 2 work assignments are varied and frequently require interpretation ..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..
Description Responsibilities This role within the Autism Care Demonstration (ACD) Team, will work closely with Care Management leaders and Subject Matter Experts in the areas of Case Management, Utilization Management and ..
16,975 Job Information Deloitte ConvergeHealth Patient Services - Consultant in Cincinnati Ohio ConvergeHealth Patient Services Consultant ConvergeHEALTH is a part of Deloitte Consulting’s Core Industry Solutions and supports data-driven transformation of ..
16,975 Job Information Deloitte ConvergeHealth Patient Services - Consultant in Columbus Ohio ConvergeHealth Patient Services Consultant ConvergeHEALTH is a part of Deloitte Consulting’s Core Industry Solutions and supports data-driven transformation of ..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides health insurance. Requires an in-depth understanding of ..
Description The Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Hospital Contracting Executive works on problems ..
Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates new product ideas, enhance existing products or strategic product extensions, and translates research discoveries into marketable products. This ..
... Deloitte ConvergeHealth Patient Services - Manager in Cleveland Ohio ConvergeHealth Patient ... Cleveland Ohio ConvergeHealth Patient Services Manager ConvergeHEALTH is a part of ... and supports data-driven transformation of..
Description Humana is excited to announce the opening of a brand new contact center in Dublin, Ohio! Humana was awarded a contract to support the Medicaid members in Ohio with its ..
... Deloitte ConvergeHealth Patient Services - Manager in Cincinnati Ohio ConvergeHealth Patient ... Cincinnati Ohio ConvergeHealth Patient Services Manager ConvergeHEALTH is a part of ... and supports data-driven transformation of..
