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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 ..
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... 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..
Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, ..
Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..
Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Humana's Wisconsin Medicaid Market ..
Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..
... environment. You will provide project management expertise while executing implementations that ... or more years' of project management experience leading large-scale projects, meetings, ... external stakeholders Knowledge of project..
Description Humana's Marketing Organization is seeking a Consumer Experience Professional to join the Market Research Loyalty & Advocacy Insights team. This enterprise team focuses on data analysis and generating insights from ..
Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of ..
... process improvement.Specific job responsibilities include:Client Management—Support the Account Executive in delivering ... benefits industry.Strong organizational and project management skills.Client service orientation that develops ... in this job description restricts..
Job Information Humana Insurance Product Management Representative 2 in Bridgeport Connecticut Description The Insurance Product Management Representative 2 Manages insurance product offerings for each market and customer need. The Insurance Product ..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral ... involves processing referrals into medical management system with emphasis on accuracy ... answer provider/beneficiary inquiries. The Care Management Support..
... wastewater treatment plantsnJob DescriptionThe Risk Management Specialist assists the Risk Management department to identify, analyze, recommend, ... analyze, recommend, and implement risk management strategies and the insurance program .....
Description The Associate Director, Vendor Management works as liaison between vendors and organization. The Associate Director, Vendor Management requires a solid understanding of how organization capabilities interrelate across department(s). Responsibilities The ..
Description The Senior Health Information Management Professional work assignments involve moderately complex to complex issues to work with various teams to develop business requirements, track and monitor the success of the ..
(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) Under limited supervision, our Technical Risk Control Consultant provides loss ..
... environment. You will provide project management expertise while executing implementations that ... integration experience Knowledge of project management tools, change management, dependency management, risk management and when to use..
Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Description The Senior Pharmacy Claims Professional adjudicates pharmacy claims and process pharmacy claims for payment. The Senior Pharmacy Claims Professional work assignments involve moderately complex to complex issues where the analysis ..
