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Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
... of the Quality Management (QM) program; accountable for overall continuous improvement ... well as the Pharmacy Management Program (PMP) of services associated to ... Agency (DHA) customer. Develop targeted..
Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..
Description The Lead, Portfolio Management collaborates with the business portfolio team to align the IT portfolio and demand. The Lead, Portfolio Management works on problems of diverse scope and complexity ranging ..
Description The Senior Market Consultation/Partnership Professional promotes and improves the quality and measurement of care delivery programs with a market(s). The Senior Market Consultation/Partnership Professional work assignments involve moderately complex to ..
... and support their health, offering education, identifying resources, and helping remove ... will be part of our Special Needs Program (SNP) team. All of our ... compliance driven and..
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 Specialty Drug Site of Care Specialist in Aberdeen South Dakota Description The Specialty Pharmacy Programs Clerk 2 supports clinical programs and comprehensive insights directly related to Specialty Pharmacy ..
... individual to support the Stars program to positively impact HEDIS performance ... will support the preventive health program delivery lead in implementation, performance ... in implementation, performance oversight, and..
Job Information Humana Lead, IT Risk and Compliance - Business Managed Technology in Aberdeen South Dakota Description The Lead, IT Risk and Compliance - Business Managed Technology is primarily focused on ..
Description The Data and Reporting Professional 2 generates ad hoc reports and regular datasets or report information for end-users using system tools and databases. The Data and Reporting Professional 2 work ..
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 ..
Description Risk Adjustment Coders are responsible for reviewing medical records, completing multiple audits, and special projects. Associates in this role work collaboratively with other departments. Responsibilities The Risk Adjustment Coder ensures ..