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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..
... specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Director, Market ... internally and externally. Develop a contract management oversight process that..
Summary The Branch Manager is responsible for managing the day-to-day sales activities of their branch and overall origination processes within defined targeted goals. This position will work the loan officer’s to ..
Description The Senior Project Manager, Medicaid Provider & Network Implementation ... and performance. The Senior Project Manager, Medicaid Network Implementation requires an ... Solutioning may also include some product development..
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 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 ..
... with stakeholders in Global Operations, Product, Digital, Loyalty and others. This ... establishing operating procedure documentation, expanding product capabilities and integrations, building venue ... new properties, developing, and delivering..
Description The Market Development Professional 2 provides support to assigned health plan relative to Medicare/Medicaid product implementation, operations, and contract compliance. The Market Development Professional 2 work assignments are varied and ..
Description Responsibilities The Insurance Product Manager 2 will: Research each State's Medicaid rules, as it pertains to base benefits, expanded benefits, competitive analysis, etc. for intelligence gathering and strategy formulation Responsible ..
Job Information Humana Behavioral Health Medical Director - Oklahoma Medicaid in Tulsa Oklahoma Description Humana's Oklahoma Medicaid BH Medical Director will oversee our behavioral health (BH) clinical program for Oklahoma Medicaid ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Manager, FP&A - Product & Innovation (Remote) Date: May ... living without. Position Summary The Manager, FP&A - Product & Innovation will be a ... Director of FP&A, overseeing all..
Manager, FP&A - Sports Marketing (Remote) Date: Aug 19, 2022 ... Support, and Strategy Execution. The Manager, FP&A – Sports Marketing will be a key member ... by supporting our..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
