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... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... service. Summary The Clinical Account Manager (CAM) is directly responsible for ... assigned client(s). The Clinical Account..
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... section 4. Responsibilities The UM Manager will lead a team of ... guiding clinical decisions. The UM Manager will be responsible for workload ... distribution of the team. The..
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..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
... Humana Clinical Analytics and Trend Program Manager in San Antonio Texas Description ... The Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... progress and performance..
... the ACD policy requirements and Program Integrity policies, procedures and workflows ... Qualifications 3 plus years of healthcare fraud investigation experience 2 plus ... knowledge and experience Experience in..
Description The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or ..
... acumen to solve for the healthcare challenges of today. The Clinical ... home anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... progress and performance against..
... As the Associate Director, IT Project Management, you will use your ... your background and experience in program management to lead and manage ... staffing is appropriate to meet..
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 ..