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Requisition Number: 59806 Company Name: The Davey Tree Expert Company Service Line: 1RES - Kent-Residential & Commercial Services Employment Type: Regular Job Type: Full Time Education Level Required: High School Diploma ..
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Description The Senior Risk Management Professional will be responsible for managing third party risk management (TPRM) work streams to support Humana's overall TPRM Program. Responsibilities include risk identification, data analysis, process ..
Description The Senior Clinical Business Professional manages all aspects of a ... budget. The Senior Clinical Business Professional work assignments involve moderately complex ... Responsibilities The Senior Clinical Business Professional..
Description The Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization Behavioral ..
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 ..
Job ID 21000FMNAvailable Openings 2 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 ..
Job Information Humana Senior Accreditation Professional in Charleston West Virginia Description ... Virginia Description The Senior Accreditation Professional works in a team environment ... Home Anywhere The Senior Accreditation Professional..
... with qualifying ASD diagnoses. Provide professional and courteous service to all ... Electronic Questionnaire for Investigation Processing). Healthcare professional with a minimum of a ... case management, clinics and/or..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..
... Advantage (YHA) is a Humana-owned Healthcare Management Company dedicated to improving ... Responsibilities The Care Management Support Professional contributes to administration of the ... improvement. The Care Management Support..
Description The Associate Director, Problem, Incident and Event Management drives technical support teams to recover services during periods of service disruption or outages to key technology platforms/applications. The Associate Director, Problem, ..
... for a Nurse Auditor 2 Professional who is experienced in within ... consider Humana's Nurse Auditor 2 Professional opportunity. Performs in a production ... well-being. We also provide excellent..
... The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge ... The Utilization Management Behavioral Health Professional 2 work assignments are varied ... The Utilization Management Behavioral Health..
Description The Senior Portfolio Management Professional collaborates with the business portfolio team to align the IT portfolio and demand. The Senior Portfolio Management Professional work assignments involve moderately complex to complex ..
Description The Senior Quality Improvement Professional will focus organizational efforts on ... quality improvement. Senior Quality Improvement Professional work assignments involve moderately complex ... Responsibilities The Senior Quality Improvement Professional..
Description The Senior Demand and Portfolio Management Professional collaborates with the business portfolio team to align the IT portfolio and demand. The Senior Demand and Portfolio Management Professional work assignments involve ..
Description The Senior Market Finance Professional collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. The Senior Market Finance Professional work assignments involve moderately complex ..
Description The Medical Coding Auditor reviews medical records to verify coding (ICD-10 CM/PCS). The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Description SeniorBridge is hiring a remote, Full-Time Scheduling Coordinator. SeniorBridge is Humana's wholly-owned home care business acquired in 2012. We provide concierge care management, private duty nursing, and personal care assistance ..
Description The Senior Compliance Professional will help to reach compliance program objectives by ensuring compliance with governmental regulations and laws, assessing risks and providing guidance to business areas. Responsibilities The Senior ..
Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new ..