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Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments are varied and ... of action...
Description The Associate Director, Medicaid Implementation (Project Management) manages all ... within budget. The Associate Director, Medicaid Implementation (Project Management) requires a ... department(s). Responsibilities The Associate Director, Medicaid Implementation..
Description The Medicaid Implementation Senior Project Manager manages all aspects of a ... time and within budget. The Medicaid Implementation Senior Project Manager work assignments involve moderately complex ... duties..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description Responsibilities The Insurance Product Manager 2 will: Research each State's Medicaid rules, as it pertains to ... formulation Responsible to maintain existing Medicaid markets on routine daily tasks .....
... Medical Directors will learn Medicare, Medicaid, and Commercial requirements and will ... industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... hospitals/ Integrated Delivery Systems, health..
Job Information Humana Senior Project Manager - Remote in US in ... Virginia Description The Senior Project Manager manages all aspects of Medicaid projects as it relates to ... within..
... knowledge of how to inspire product culture and groom talent. The ... relocation. Responsibilities Key Responsibilities Leverage product management expertise to create simple, ... use for Humana's 8M Medicare,..
... Prescription Drug Plans, Medicare Supplement, Medicaid Managed Care Plans and Individual ... Plans and Individual Major Medical insurance plans. The Regional Vice President, ... key role in strategic planning,..
Description Humana Medicaid is growing and you have ... highly specialized professional associates. The Medicaid Encounter Associate Director will work ... for the management of the Medicaid Encounter and Automation..
Description The Senior Product Manager role is a part of ... a part of the Pharmacy Product & Growth organization and will ... Humana covered lives across Medicare, Medicaid and..
Job Information Humana Senior Technical Product Manager in Charleston West Virginia Description ... Virginia Description The Senior Technical Product Manager (TPM) must be able to ... track all phases of..
Job Information Humana Technical Product Manager - Remote in Charleston West ... West Virginia Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... track all..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... Director oversees the work of 2 Medical Directors who conduct clinical ... candidate with experience in the insurance industry around behavioral and physical ... to BH strategy/trend/spend, Interfacing with..
Job Information Humana Workforce Management Lead - Remote, US in Charleston West Virginia Description The Workforce Management Lead applies and integrates advanced and predictive analysis, people metrics and reporting to develop ..
... Information Humana Clinical Technology Lead Product Manager in Charleston West Virginia Description ... West Virginia Description The Lead Product Manager Conceives of, develops, delivers, and ... for customer use...
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
