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Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
... Job Description Summary Care Management Support Specialists contribute to the administration ... management. The CMSS provides non-clinical support to the assessment and evaluation ... and wellbeing of members. The..
... lead their best lives. We support our associates in becoming happier, ... for all. The Care Management Support Assistant 1 contributes to administration ... of care management. Provides non-clinical..
Job Information Humana Senior Integration Specialist - Cloud in Aberdeen South Dakota Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating functional silos existing between ..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
... Be part of our Clinical Support Team - Humana is seeking ... Coder to join the Clinical Support Team within the Healthcare Quality Reporting & Improvement department. ... coding..
... techniques, and analytical approach. Must support compliance related functions under the ... and holidays as applicable) to support the needs of the business ... the business Provides oversight, education,..
Job Information Humana Vulnerability Remediation Specialist (Remote) in Aberdeen South Dakota Description The Systems Engineer 2 is responsible for design, analysis, configuration and maintenance of complex systems software solutions, based on ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Aberdeen South Dakota Description The Fraud and Waste Professional 2 conducts investigations of allegations ..
Description The UM Specialist /UM Administration Coordinator 2 contributes ... activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works ... Humana. Join Us! The UM Specialist / UM..
... facility The Supervisor, Care Management Support will lead a team of ... a team of 16-22 care support professionals and contributes to administration ... of care management. Provides non-clinical..
Job Information Humana Vendor Management Specialist 3 in Aberdeen South Dakota ... Dakota Description The Vendor Management Specialist 3 works as liaison between ... and organization. The Vendor Management Specialist..
Description The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where ..
Job Information Humana Pharmacy Claims Specialist, Remote in Aberdeen South Dakota ... activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works ... costs, improve patient care and support..
Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Aberdeen South Dakota Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent ..
Description Care Management Support Specialists contribute to the administration ... management. The CMSS provides non-clinical support to the assessment and evaluation ... and wellbeing of members. The Support Specialist performs..
Description The Pharmacy Development Specialist will be responsible for qualifying and managing new business leads and cultivating prospects and sales. Responsibilities Summary The Business Development Specialist will be responsible for managing ..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
Description The Supervisor, Care Management Support contributes to administration of care ... of care management. Provides non-clinical support to the assessment and evaluation ... members. The Supervisor, Care Management Support..
Job Information Humana Specialty Drug Site of Care Specialist in Aberdeen South Dakota Description The Specialty Pharmacy Programs Clerk 2 supports clinical programs and comprehensive insights directly related to Specialty Pharmacy ..
