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Description The UM Specialist contributes to administration of utilization ... of utilization management. The UM Specialist performs varied activities and moderately ... As a UM (Utilization Management) Specialist you will..
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Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..
Description The Medical Director actively uses their medical background, experience, and judgement to ... and other sources of expertise. Medical Directors will learn Medicare and ... in their daily work...
Description Interested in working from home? Interested in being and advocate and making a difference in the lives of others? Join our contact center and experience a supportive team environment as ..
Job Information Humana Senior Cyber Data Manager (remote virtual home office) in Billings Montana Description The Senior Cyber Data Protection Engineer will operate as a member of the [Author by Humana] ..
Job Information Humana SENIOR QUALITY TECHNOLOGY LEADER - Technology Advancement (Work at Home/Fully Remote) in Billings Montana Description If you run toward knowledge and problem-solving, join us! The Quality Engineering team ..
Job Information Humana Clinical Formulary Strategy Pharmacist - Work At Home in Billings Montana Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug development pipeline, and medical literature, while providing clinical ..
... for a ServiceNow PPM Technology Specialist to help drive and deliver ... Description The ServiceNow PPM Technology Specialist will work as part of ... application. The Senior Technology PPM..
Description The Senior Technology Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Senior Technology Leadership Professional work assignments involve moderately complex to complex ..
Description The Senior Technology Leadership Professional collaborates with Associate VP, Directors and Managers on quality goals and initiatives in all aspects of software or hardware product delivery and performance. You will ..
Job Information Humana Senior Professional, Sales and Marketing Support - Montana in Billings Montana Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for ..
Description Interested in working from home? Interested in being and advocate and making a difference in the lives of others. Join our contact center and experience a supportive team environment as ..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Billings Montana Description Humana is looking for an experienced Healthcare Investigator to join its industry ..
Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Billings Montana Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..
Job Information Humana LEAD QUALITY TECHNOLOGY LEADER - IT Security (Work at Home/Fully Remote) in Billings Montana Description If you run toward knowledge and problem-solving, join us! The Quality Engineering team ..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors. Responsibilities The..
Job Information Humana LEAD QUALITY TECHNOLOGY LEADER - Infrastructure (Work at Home/Fully Remote) in Billings Montana Description If you run toward knowledge and problem-solving, join us! The Quality Engineering team within ..
... team of 20-25 nurses and medical professionals that performs the following ... that performs the following functions: medical necessity/level of care reviews, provider ... education on the utilization and..
