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... Vice President, Medical Management Operations and serves as a member of ... Leads functions related to HGB's Care Management programs to include predictive ... predictive models, engagement strategies, intervention..
... Director relies on medical background and reviews health claims. The Medical ... Work At Home Schedule: Variable and dependent on market needs Description ... uses their medical background, experience,..
... Director relies on medical background and reviews health claims. The Medical ... uses their medical background, experience, and judgement to make determinations whether ... requested services, requested level of..
Description The Care Manager, Telephonic Behavioral Health 2 , ... in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by .....
... uses their medical background, experience, and judgement to make determinations whether ... requested services, requested level of care, and/or requested site of service should ... within a context of..
... Director relies on medical background and reviews health claims. The Medical ... Medical Director provides medical interpretation and decisions about the appropriateness of ... by other healthcare professionals in..
... of Payment Integrity, will create and implement process improvement plans focused ... plans focused on the beneficiary and provider experience, as well as ... Associate Director will lead design..
... strategic provider services, provider engagement and network development. They coordinate workforce ... They coordinate workforce development initiatives and work collaboratively with Humana business ... area leads, other contracted MCO's..
Description The Director, Quality Improvement implements quality improvement programs for all lines ... annual program description, work plan, and annual evaluation. The Director, Quality Improvement requires an in-depth understanding .....
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is ... is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of ... Member Plan..
Description The Associate Director, Quality Improvement implements quality improvement programs for all lines ... annual program description, work plan, and annual evaluation. The Associate Director, ... annual evaluation. The Associate..
