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... currently recruiting for: Sr. Project Manager- PCI Compliance Title: Sr. Project ... PCI Compliance Title: Sr. Project Manager- PCI Compliance Location: Owings Mills, ... project sponsor, business owner, management,..
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The Health Plan is seeking a Claims Department Manager to provide directional change, guidance, and assistance to the department Supervisors.Responsibilities Include:Managing the Health Plan's activities in the area of claims processing, ..
Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative medicines focused on helping millions of patients around the world in disease areas ..
Description The Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The Senior Clinical Strategy and Practice Professional ..
... compliance, and quality performance and staffing management. Detailed Responsibilities include: Leads ... Support development of national clinical staffing models and work with Medicaid ... with Medicaid markets to support..
Description Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will assess, plan, coordinate, implement, ... Care Management Team, the care manager..
Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... schedules and goals. Responsibilities The Manager, Utilization Management Nursing..
... exceptional results to the TRICARE Program. In this role you will: ... requirements related to the TRICARE Program related to claims processing. Ensure ... support compliance with the TRICARE..
... designation into the Clinical Advancement Program for Registered Nurses. The CAP ... under the direction of the Program Manager with guidance from the Educator, ... and formal Home Dialysis..
... Humana Clinical Analytics and Trend Program Manager in Bethesda Maryland Description The ... The Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... managers across the..
... your background and experience in program management to lead and manage ... of the segment PMO, ensuring staffing is appropriate to meet program and project needs, mitigating overall .....
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..
... seeking a qualified Senior Operations Manager in the Baltimore/Washington DC area. ... years of experience in the Healthcare and Information technology industries in ... team to support the growing..
... acumen to solve for the healthcare challenges of today. The Clinical ... home anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... team Low Value Care..
Description The Director, Provider Reimbursement is responsible for the leadership, strategy development and execution of Humana Military's provider reimbursement methodologies. This leader is responsible for timely and accurate implementation of Government ..
Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..
Description The Wellness Coach 2 supports health promotion and disease prevention and care management services. The Wellness Coach 2 work assignments are varied and frequently require interpretation and independent determination of ..
... to passing NCLEX -Nurse Residency Program: During your first year train/work ... our nurse Education team, your manager & nurse mentor, and offered ... commitment to the Quality Enhancement..
... commitment to the Quality Enhancement Program (QEP) and CQI Activities, including ... requirements of the FMCNA Compliance Program, and FMS patient care and ... Clearance Monitoring (OLC), Adequacy Monitoring..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... to administer the TRICARE health program for military members, retirees and ... through TRICARE and other military healthcare programs...
... to administer the TRICARE health program for military members, retirees and ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Discharge Call (PDC) Telephonic Care..
