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... section 4. Responsibilities The UM Manager will lead a team of ... when approving all TPs, ABA service requests and every six-month reauthorizations ... guiding clinical decisions. The UM..
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Job Information Humana Manager, Behavioral Provider Contracting - Remote in Green ... Green Bay Wisconsin Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment ... of those..
Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
Description Responsibilities The Director, Health Services uses clinical knowledge, communication and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or ..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Green Bay ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..
Description The Care Manager, Telephonic Nurse Assistant 2 receives ... from members. The NAL Care Manager, Telephonic Nurse Assistant 2 is ... degree in business or related healthcare field Bilingual..
... 40) market leader in integrated healthcare with a clearly defined purpose ... Vice President, Digital Experience - Self-Service. In this role, you set ... execute the vision of Humana.com..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, and progressive approaches ... Government. Responsibilities The Telephonic..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Bay Wisconsin Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, ... executes physician, hospital, and/or other provider behavioral health contracts for an ... Medicaid segment. Responsibilities The Director, Provider Contracting- Behavioral..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Green Bay Wisconsin Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the ..
... be willing to travel for provider facing and corporate meetings as ... care, treatment, modalities, statues, and healthcare delivery models Experience working with ... experiences Willing to travel for..
... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, and progressive approaches ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary...
Description The Provider Services Market Rollout Senior Professional ... to the implementation of Humana's provider support model in new and ... Medicaid providers and drive optimal provider experience, as well..
Job Information Humana Manager, Utilization Management RN - Remote ... Green Bay Wisconsin Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
Description The Care Manager, Telephonic Nurse Assistant 2 receives ... from members. The NAL Care Manager, Telephonic Nurse Assistant 2 is ... required. Satellite and Wireless Internet service is NOT..
Job Information Humana Manager, Utilization Management Nursing - Medicare ... Green Bay Wisconsin Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
... 40) market leader in integrated healthcare with a clearly defined purpose ... Experience - Shopping, Enrollment, & Self-Service. In this role, you set ... Humana.com marketing, shopping, enrollment, and..
... Work from Home Beneficiary Customer Service Representative (BSR). Responsibilities What you ... experience in a professional, customer service-driven environment High level of confidence ... work effectively, the self-provided internet..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, ... executes physician, hospital, and/or other provider behavioral health contracts for an ... or segment. Responsibilities The Director, Provider Contracting- Behavioral..