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Description The Senior Product Manager - Fully Insured supports strategy ... - Fully Insured supports strategy development, delivery, and management of the ... portfolio for the Employer Group business. Responsibilities..
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... clinical operations delivery, Preauthorization List development and governance, Mental Health Parity, ... processes are in place; Support development of national clinical staffing models ... *Bachelor's Degree in health or..
Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... schedules and goals. Responsibilities The Manager, Utilization Management Nursing..
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 ..
... and supports data-driven transformation of healthcare by enabling healthcare and life sciences organizations to ... supporting key patient services and healthcare use cases including defining personas, ... firm leadership..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Government. Responsibilities The Telephonic Care Manager will..
Description The Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The Senior Clinical Strategy and Practice Professional ..
Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... schedules and goals. Responsibilities The Manager, Care Management oversees..
... broad, advanced product experience and business acumen. Responsibilities As the Director ... Management, you will drive the development of strategic, high-performing transformational clinical ... lifecycle, user and buyer experiences,..
... 41) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... President, Strategy Advancement for our..
Description The Senior Product Manager conceives of, develops, delivers, and ... customer use. The Senior Product Manager work assignments involve moderately complex ... factors. Responsibilities The Senior Product Manager will..
... and supports data-driven transformation of healthcare by enabling healthcare and life sciences organizations to ... of key patient services and healthcare use cases including defining personas, ... firm leadership..
Description The Director, Provider Reimbursement is responsible for the leadership, strategy development and execution of Humana Military's provider reimbursement methodologies. This leader is responsible for timely and accurate implementation of Government ..
Description Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will assess, plan, coordinate, implement, ... Care Management Team, the care manager..
... vendors, as needed. Humana Government Business government contract requires U.S. citizenship ... to support trend opportunities or business needs. Includes documenting and delivering ... Care Management operational leaders, lead..
... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care..
... execution to deliver longer term business value. Can possess specialized knowledge ... possess specialized knowledge of Software Development Life Cycle (SDLC) and Information ... Required Qualifications Bachelor's Degree in..
... lean startup, and agile product development methodologies. Responsibilities As a Product ... methodologies. Responsibilities As a Product Manager for Whole Person Health here ... ideal candidate has experience in..
... Clinical Analytics and Trend Program Manager in Las Vegas Nevada Description ... Practice Lead builds strategies for development, engagement, best clinical practices and ... Clinical Analytics & Trend Program..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..
... as a focus on collaborative business relationships, value based care, population ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..
... Deloitte ConvergeHealth Patient Services - Manager in Las Vegas Nevada ConvergeHealth ... Vegas Nevada ConvergeHealth Patient Services Manager ConvergeHEALTH is a part of ... and supports data-driven transformation of..
... Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while ... hospice and palliative care pharmacy business acquired by Humana in 2021. ... nation's largest full-service pharmacy benefits..
