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Description The Senior Utilization Manager RN provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The work assignments ..
... clinical program design, implementation, and management, monitoring and reporting Comply with ... health agencies Previous telephonic case management experience working in the medical/insurance field Basic knowledge of complex .....
Description In the business world, the ability to identify and forecast financial situations is indispensable. The Senior Financial Analytics Professional ensures Humana's profitability and financial security by analyzing and reporting on ..
Description The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a framework ..
... teams from the HCS Transformation Management Office, the Chief Medical Organization, ... with regular updates to Senior Management and through using specific reporting ... Plans and facilitates meetings with..
Description The Associate Director, Vendor Management works as liaison between vendors ... organization. The Associate Director, Vendor Management requires a solid understanding of ... 2 or more years of management..
Description The Associate Director, Consumer Engagement oversees the enrollment, education, engagement, and activation duties for client groups regardless of segment, and for product where warranted. The Associate Director, Consumer Engagement requires ..
Description The Senior Health Information Management Professional ensures data integrity for ... errors. The Senior Health Information Management Professional work assignments involve moderately ... Responsibilities The Senior Health Information Management..
Description The Actuarial Analyst 1, Risk and Compliance is responsible for the overall management and oversight of actuaries and/or support staff where activities are concerned with identifying and managing risks. Identifies ..
