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... Advanced degree Experience in Project Management Experience with multiple utilization management platforms Additional Information Interview Format:As ... interviews. Alert: Humana values personal identity protection. Please be aware that .....
... you have a few Change Management techniques to help stakeholders work ... with large system migrations in healthcare, and if you have experience ... Software implementation experience in the..
... part of the Medical Records Management system, an enterprise system for ... multiple products within Medical Records Management which includes working with each ... by delivering personalized, simplified, whole-person..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... technology allows Responsibilities The Utilization Management Nurse 2..
... Care Managers, because our case management services are centered on the ... Previous adult chronic conditions care management. Previous experience in care management. Knowledge of complex care management and..
Description The Utilization Management Behavioral Health Professional 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... a Compact State The Utilization Management Behavioral Health..
Description The Pre-Authorization Nurse 2 reviews Genetic testing prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The ..
Description The Utilization Management Nurse utilizes clinical nursing skills ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... by delivering personalized, simplified, whole-person healthcare experiences. Recognizing..
Description The Utilization Management Nurse 2 utilizes clinical nursing ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... of action. Responsibilities The Utilization Management Nurse 2..
... ECOM leadership team with Program management & Pipeline trend management efforts Work with various Humana ... Minimum 2 years working in healthcare or a related industry 3 ... and..
Description The Utilization Management Behavioral Health Professional 2 utilizes ... benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work ... of action. Responsibilities The Utilization Management Behavioral Health..
... purpose is to provide care management program support resources to physicians, ... physicians, physician groups, and integrated healthcare delivery systems throughout the country. ... delivery systems throughout the country...
Description The Actuary, Analytics/Forecasting will develop the financial forecast for the dental and vision benefits included within Humana's growing Medicare Advantage business, as well as pricing and oversight of other stand ..
Description Humana's Enterprise Clinical Management team needs your clinical, business ... acumen to solve for the healthcare challenges of today. The Clinical ... Care initiative program and process management Manages,..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as a whole. The ... Compliance Nurse 2 reviews utilization management activities and documentation to..
Job ID 21000IJPAvailable Openings 1Position Specific Information $1,000 Sign-on Bonus with no dialysis experience $1,500 Sign-on Bonus with dialysis experiencePURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service ..
