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... in the fast-paced industry of healthcare, we offer our associates careers ... impact on the future of healthcare, Humana has the right opportunity ... by delivering personalized, simplified, whole-person..
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Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ..
Description The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a framework ..
Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry as a whole. The ... vendors to ensure the member's healthcare needs are met* Acts..
Description The Network Operations Coordinator contributes to the provider experience ... the health plan networks. The Network Operations Coordinator leads advanced and highly specialized ... directories, and/or contract management The..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... for assuring that market area network plans are executed and desired ... are executed and desired government network goals are achieved (i.e. access ... building, maintaining, and analyzing/optimizing a..
... with Field Operations to address network inadequacy, and document barriers to ... with leaders for collaboration with network & non-network partners. Coordinate and track outcome ... Electronic Questionnaire for..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
... as a unit patient flow coordinator, facilitating admissions, discharges and transfers; ... shift with the Director/Clinical Manager, Coordinator and/or House Officer; serves as ... St. Luke's Baptist Hospital Tenet..
Description At Conviva Care Solutions, we want to inspire people to live life their best healthy life. Conviva Care Solutions is a management services organization representing nearly 300 physician practices, 800 ..
Job Information Humana RN Case Manager - Transitional Care - Work from Home San Antonio in San Antonio Texas Description At Conviva Care Solutions, we want to inspire people to live ..
Description The Network Operations Coordinator 4 maintains provider relations to ... needed for service operations. The Network Operations Coordinator 4 assumes ownership and leads ... perks for well-being Responsibilities The..
Job Information Humana Manager of Fraud and Abuse Data Analytics in San Antonio Texas Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be responsible for the supervision of ..
Description The Network Operations Coordinator 3 maintains provider relations to ... needed for service operations. The Network Operations Coordinator 3 performs advanced administrative/operational/customer support ... intermediate mathematical skills. Responsibilities The..
... Centerwell Bilingual Social Service Resource Coordinator - CenterWell - Houston, TX ... all. The Social Services Resource Coordinator contributes to administration of care ... well-being of members. The Resource..
Job Code 2172024 For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of ..
