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... Responsibilities Title : Clinical Trend Medical Director Assignment: Enterprise Clinical Management, ... is seeking a Clinical Trend Medical Director. As a clinical trend ... that will positively impact Humana's..
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 Medicaid Project Manager-Remote in US in Billings Montana ... in Billings Montana Description The Project Manager 2 manages all aspects of ... manages all aspects of a..
Description The Behavioral Health Medical Director makes determinations regarding prior ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical Directors..
Job Information Humana Manager Learning Design (Remote Work Optional) ... an experienced people leader. The Manager, Learning Design uses instructional design, ... knowledge or performance gap. The Manager, Learning Design..
... Where you Come In The Manager, Medical/Financial Risk Evaluation identifies, assesses, and ... identifies, assesses, and mitigates any medical or financial risk that arises ... excellent professional development &..
Job Information Humana Project Manager 2 - Remote in US ... in Billings Montana Description The Project Manager 2 manages all aspects of ... time and within budget. The Project..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Billings ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... necessary record components and requests medical..
Job Information Humana Senior Project Manager - Remote in US in ... Billings Montana Description The Senior Project Manager manages all aspects of Medicaid ... and within budget. The Senior..
Description What Humana Offers We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development ..
... Information Humana Specialty Pharmacy RX Education Manager in Billings Montana Description Responsibilities ... Billings Montana Description Responsibilities The Manager, Consumer Engagement contributes to business ... ensure enrollment success, identifying..
Description The Manager, Risk Adjustment oversees coding educators ... and quality assurance audits of medical records and ICD-9/10 diagnosis codes ... and Medicaid Services (CMS). The Manager, Risk Adjustment works..
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 ..
Description The Behavioral Health Medical Director responsible for behavioral health ... and/or operations. The Behavioral Health Medical Director work assignments involve moderately ... Government Business's (HGB) Behavioral Health Medical Director..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work. Responsibilities Title:..
Job Information Humana Provider Senior Project Manager/Medicaid-Remote/Virtual in US in Billings Montana ... Billings Montana Description The Senior Project Manager manages all aspects of a ... manages all aspects of..
Job Information Humana Specialty Pharmacy RX Enrollment Manager in Billings Montana Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying member ..
Description The Medical Coding Coordinator 3 extracts clinical ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... Government Business's (HGB) Behavioral Health..
Description The Manager, Fraud and Waste, Genetic Counseling ... fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling ... schedules and goals. Responsibilities The Manager, Fraud and Waste,..
