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Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
... acumen to solve for the healthcare challenges of today. The Clinical ... anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... Organization as needed Produce high..
Description The Project Manager supports the operational, financial, and ... across the Health Innovation & Quality Team within the Practice Directorate, ... especially matrixed support to the Healthcare Finance Office...
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..
... Office develops, aligns, and delivers high-quality supports to ensure students, particularly ... wellness and continued learning. The Manager, Psychology will be a member ... interns, externs and fellows. The..
Job Information Humana Lead Product Manager - Healthcare API in Washington District Of ... Columbia Description The Lead Product Manager - Healthcare API (SME) as part of ... Individual will..
Job Information Humana Manager of Fraud and Abuse Data ... Of Columbia Description Responsibilities The Manager of Fraud and Abuse Data ... team with responsibility for the quality and content..
... Education Bachelor's Degree Administration or healthcare preferred (Required) Master's Degree Master's ... Master's Degree Master's degree in Healthcare counts towards years of supervisory ... managerial experience in an ambulatory..
Job Information Humana Manager, Pharmacy and Medical Trend in ... a team charged with monitoring, reporting and projecting Humana's drug trends, ... biosimilar pipeline process. Produce top quality presentations and..
... Information Humana Behavorial Economics Program Manager - Test & Learn Portfolio ... acumen to solve for the healthcare challenges of today. The Clinical ... Organization as needed Produce high..
... Humana Nationwide Medicaid Behavioral Health Quality Lead in Washington District Of ... Columbia Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
... and restore hope. The Program Manager will develop, manage and scale ... programs that increase participation in healthcare benefit programs, as part of ... most promising offerings. The program..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Washington District Of Columbia ... Healthy Horizons is seeking a Quality Improvement Program..
Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..
Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
... in the country. Responsibilities The Healthcare Strategy team supports Humana's Retail ... Directors. As a Strategy Program Manager, you will be at the ... ways of working Shaping high..
Description The Manager, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific ... schedules and goals. Responsibilities The Manager, Compliance Nursing ensures..
... role PURPOSE AND SCOPE: Promotes quality patient care, ongoing customer support ... dialysis staff, physicians and other healthcare professionals. Services are generally provided ... other members of the patient’s..
... (CCM) organization is seeking a Manager, Fraud & Waste to join ... As the Fraud & Waste Manager at Humana, you will support ... so that our members receive..
Business: Boys Town Job Summary In a career as an In-Home Family Services Consultant you can change a family's life. Every family has its problems, but some families' problems threaten their ..
Full-Time/Regular REGISTERED NURSE - Risk Manager INTRODUCTION The ICE Health Services ... staff and contractors comprise the healthcare professionals working together to provide ... professionals working together to provide quality..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - ... Horizons is seeking a Senior Quality Program Delivery Professional who will ... who will manage and support quality improvement..