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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..
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 ..
Location Manager Job ID: 7399 Location: Lemmon, ... are looking for a Location Manager in Lemmon, SD . This ... consistent corporate image throughout all product lines, promotional materials, and..
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 ..
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 Director, Informatics in Aberdeen South Dakota Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights ..
Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..
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 ..
... 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 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 ..
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 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 ..
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..
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 ..