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Description The Senior Consumer Experience Professional ensures optimized interaction between a company and members. The Senior Consumer Experience Professional work assignments involve moderately complex to complex issues where the analysis of ..
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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..
Description The Medical Coder extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coder assumes ..
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 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..
... social workers, clinic & market management and administrative staff Self-directed and ... and provider consultation in the management of chronic disease states Chronic ... appropriate use of medications and..
Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., ..
... 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 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..
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..
... 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...
... monitoring and evaluating the case management plan against the member's personal ... with Care Coordination and Case Management Discuss cases with Medical Directors ... clinical program design, implementation, and..
Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry. The Senior Provider Contracting ... more years of progressive network management experience including hospital contracting..
... in both the treatment and management of most chronic and acute-care ... contributes to administration of care management. This role is a key ... Care team resources and care..
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 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..
Description Job Summary 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..
Description SeniorBridge is seeking a PRN Care Manager dedicated to delivering the highest quality in-home care services to chronically ill patients utilizing multidisciplinary approach to care. SeniorBridge is Humana's wholly owned ..
