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Description The Manager, Storage Engineering responsible for the ... large-scale production storage systems. The Manager, Storage Engineering works within specific ... and processes to deliver high quality technology projects and..
... Information Humana Medicaid Associate Director, Compliance Nursing in Aberdeen South Dakota ... Dakota Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
Description The Program Manager, OTC Formulary will work closely ... programs and verify that product quality does not negatively impact the ... over-the-counter formulary that balances product quality with program..
... (DM), population health management, contract compliance, quality improvement, and pilot/value-based payment programs. ... and Responsibilities Lead clinical and quality management components of HGB's Integrated ... with effective implementation of..
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..
... South Dakota Description The Healthcare Quality Reporting & Improvement (HQRI) organization ... Strategy Advancement in the Healthcare Quality Reporting and Improvement organization (HQRI) ... Must be passionate about healthcare..
Job Information Humana Manager, Compliance - Agent Investigation Unit in ... Aberdeen South Dakota Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines..
Description This role will strengthen our Insurance Product Delivery Management Team to drive end-to-end Insurance Product projects cooperating closely with our Product Strategy, Enablement, Finance, IT, Compliance and Sales / Account ..
Job Information Humana Director, Care Delivery and EMR/EHR Technology in Aberdeen South Dakota Description The Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives specific ..
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'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 Project Manager manages all aspects of a ... and within budget. The Project Manager work assignments are varied and ... action. Responsibilities As a Project Manager you will..
Description The Associate Director or Cloud Platforms leads the planning, design, and engineering of Humana's AWS and GCP environments. The ideal candidate will have a strong technical background in cloud architecture ..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Aberdeen ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... Member Plan (EFMP), auditing for quality..
Description The Senior Data Manager supports all aspects of configuration ... deficiency reporting. The Senior Data Manager work assignments involve moderately complex ... variable factors. Responsibilities Humana's Health Quality and..
Job Information Humana Associate Director, Provider Data Interoperability in Aberdeen South Dakota Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance ..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is ... Member Plan (EFMP), auditing for quality and clinical compliance, and case management. Serve as ... ABA treatment plans for..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... South Dakota Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
... and efficient business solutions for quality assurance and risk mitigation in ... data retention to assure data quality standards. This position collaborates with ... to ensure data consistency and..
Description The Manager, Compliance - Medicaid State Reporting ensures ... - Medicaid State Reporting ensures compliance with governmental requirements. The Manager, Compliance - Medicaid State Reporting works ... perks for..
Job Information Humana Lead, IT Compliance - Technology Exams, Audits and Inquiries in Aberdeen South Dakota Description The Lead, Technology Exams, Audits and Inquiries is responsible for management of formal and ..