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Description The Manager, Clinical Compliance and Risk serves ... state and federal legislative and regulatory guidelines, support internal and external ... is audit ready. Responsibilities The manager leads a team..
Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... you succeed, we succeed! The Manager, Care Management oversees..
... factors. Responsibilities The Senior Account Manager, Key Accounts is responsible to ... and acts as a program manager to coordinate, implement, execute and ... client-specific projects. The Senior Account..
Job Information Humana Director, IT Program Risk Management in Dover Delaware Description The Director, Program Risk Management is responsible for identifying and driving remediation of risks across Humana's IT portfolio. This ..
... enterprise positions and priorities. Provides regulatory guidance, general issue management and ... issue management and strategic stakeholder engagement support to Corporate Affairs and ... an archive of legislative and..
Description In the fast-paced, ever-growing world of Healthcare, Humana relies on the latest technology and trends for sharing and storing information, communication and security. We need experts in technology to help ..
Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates new product ideas, enhance existing products or strategic product extensions, and translates research discoveries into marketable products. This ..
Director, Circularity (Remote) Date: Dec 15, 2022 Location: Remote, US Company: Under Armour Under Armour has one mission: to make you better. We have a commitment to innovation that lies at ..
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 ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Dover Delaware Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
Description Humana's Associate Vice President (AVP), Technology and Cybersecurity Risk works closely with all areas of Enterprise Information Protection (EIP), Internal Audit, Enterprise Risk Management, business units, regulatory agencies, and industry ..
Job Information Humana Senior Learning Facilitation Professional-Remote in US in Dover Delaware Description The Senior Learning Facilitation Professional will focus on integration and implementation of training solutions for both internal and ..
Description The Manager, Membership and Plan Services (MPS) ... Where you Come In The Manager, MPS Risk Management will: Design, ... knowledge of the legal and regulatory environment, as it..
Service & Engagement Team LeaderApply Now (https://target.wd5.myworkdayjobs.com/targetcareers/job/148-John-Hunn-Brown-Rd-DoverDE-19901-4708/Service---Engagement-Team-Leader_R0000219424) Save Job Location:148 John Hunn ... together. ALL ABOUT SERVICE & ENGAGEMENT Advocates of guest experience who ... role of a Service and..
Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..
Job Information Humana Director, Campaign Management & Personalization in Dover Delaware Description Humana is seeking a Director, Campaign Management & Personalization who will be responsible for the leadership and day-to-day management ..
Job Information Humana Director, Technology Risk Management in Dover Delaware Description The Director, Technology Risk Management is responsible for developing and managing effective technology risk management processes and for performing technology ..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
Description The Director, IT Compliance audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information systems ..
