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Description Be a part of the eBusiness team, drivers of provider self-service adoption through education and promotion of electronic transactions the Availity secure provider portal, Watson Voice, EDI, etc. As a ..
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... all areas impacting DCE operations, performance, experience, and outcomes including provider ... as they relate to provider performance, beneficiary experience, DCE growth, provider ... engagement strategy, identifying and implementing..
... for a Lead Cloud Product Manager to join our Enterprise Architecture ... Architecture team. The Lead Product Manager Conceives of, develops, delivers, and ... Responsibilities The Lead Cloud Product..
... operational metrics that systematically measure performance versus plan against medical costs ... a communication channel that acknowledges performance improvement in the organization Ensure the ... plan designed to address..
Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... you succeed, we succeed! The Manager, Care Management oversees..
... (CCM) organization is seeking a Manager, Fraud & Waste to join ... As the Fraud & Waste Manager at Humana, you will support ... recommendations Identify and suggest process..
... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care Manager will assist beneficiaries as they ... Military TRICARE - PDC Care..
... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... customer service. The Clinical Account Manager (CAM) is directly responsible for ... assigned client(s). The Clinical Account..
... role reports to the MRA Manager and as a member of ... the ability look at provider performance metrics and be able identify ... available resources Performs analysis of..
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..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) ... Horizons is seeking a Quality Improvement Program Lead who will be ... Humana Healthy Horizon's National Quality Improvement (QI)..
... of the MRA team, the Manager will work closely with market ... to effectively look at provider performance metrics and match the right ... the candidate can demonstrate successful..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Colorado Springs Colorado Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the ..
Description The Pharmacy Clinical Advisor Professional 2 is an integral part of the Pharmacy Stars team which is accountable for Humana's Patient Safety and medication related Star measure performance. The Pharmacy ..
Job Information Humana Senior Project Manager -- Remote in Colorado Springs ... Colorado Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project Manager..
Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..
... Risk Adjustment Coding & Documentation Improvement Professional - WAH AZ or ... Risk Adjustment Coding & Documentation Improvement Professional Our search is focused ... to identify documentation and coding..
... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... service. Summary The Clinical Account Manager (CAM) is directly responsible for ... assigned client(s). The Clinical Account..
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 ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... Government. Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will..
