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Description The Risk Management Lead identifies and analyzes potential sources of loss to minimize risk. The Risk Management Lead works on problems of diverse scope and complexity ranging from moderate to ..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
Job Information Humana UM Medical Director - Conviva in Aberdeen South Dakota Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..
Description Compliance (UM) Letters Coordinator 2 conducts and summarizes compliance audits. Compliance (UM) Letters Coordinator 2 performs varied activities and ... - Saturday 9am-6pm CST The Compliance (UM) Letters Coordinator..
Job Information Humana Senior Compliance Professional (PBM & Pharmacy) in ... South Dakota Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..
... Information Humana Senior Insurance Product Compliance Professional in Aberdeen South Dakota ... Description The Senior Insurance Product Compliance Professional Performs consultation and research ... development. The Senior Insurance Product..
Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Aberdeen South Dakota Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to ..
Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Aberdeen South Dakota Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 in Aberdeen South Dakota Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs ..
Description The Compliance (UM) Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 2 performs varied activities and ... on semi-routine assignments. Responsibilities The Compliance (UM) Coordinator 2..
President & Chief Executive Officer (CEO) -Avera St. Lukes Please do not hit the click to apply button on this page. Candidates wishing to apply must submit materials electronically. Application materials ..
Description The Provider NetworkSenior Network Operations Professional works with the Network Operations lead to oversee the plan's strategic opportunity for growth, audit/survey analysis, action plan oversight, implementation and coordination, provider services ..
Description The IT Compliance Professional audits the most complex ... information systems procedures are in compliance with corporate standards. The work ... This is a fast paced compliance focused role..
Description The IT Compliance Professional 2 audits the most ... information systems procedures are in compliance with corporate standards. The IT ... with corporate standards. The IT Compliance Professional 2..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities Seeking Senior..
Job Information Humana Compliance (UM) Coordinator 2 in Aberdeen South Dakota ... Aberdeen South Dakota Description The Compliance (UM) Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator..
