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Description The Consumer Service Operations Lead is responsible for the ... functions area. The Consumer Service Operations Lead works on problems of ... substantial. Responsibilities The Consumer Service Operations Lead..
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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
Job Information Humana VP, Clinical Operations in Charlotte North Carolina Description ... North Carolina Description VP, Clinical Operations and Chief Clinical Officer of ... of the Home Health clinical operations...
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Lancaster South Carolina Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing ..
... markets through the analysis of healthcare data, identification of target patient ... field or 5 years of healthcare operations or clinical experience Experience in ... clinical experience Experience in..
PURPOSE AND SCOPE:Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with ..
Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. ..
PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality patient ..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Charlotte North Carolina Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing ..
... Advisor - Medicaid Provider Service Operations in Lancaster South Carolina Description ... Advisor - Medicaid Provider Service Operations provides support to assigned health ... to Medicaid Group product implementation,..
Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... leadership and external exposure with healthcare providers in OH,..
Job Information Humana Network Operations Lead - Behavioral Health/Medicaid in ... North Carolina Description The Network Operations Lead maintains provider relations to ... claims data needed for service operations. The..
PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP RN 1 is accountable and ..
... health. Dedicated to simplifying the healthcare experience and helping people navigate ... and helping people navigate their healthcare journey, Author is leveraging digital ... a new path for the..
Job Information Humana Network Operations Lead - Behavioral Health/Medicaid in ... South Carolina Description The Network Operations Lead maintains provider relations to ... claims data needed for service operations. The..
... Advisor - Medicaid Provider Service Operations in Charlotte North Carolina Description ... Advisor - Medicaid Provider Service Operations provides support to assigned health ... to Medicaid Group product implementation,..
PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements.Functions as part of the hemodialysis ..
Job Information Humana VP, Clinical Operations in Lancaster South Carolina Description ... South Carolina Description VP, Clinical Operations and Chief Clinical Officer of ... of the Home Health clinical operations...