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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..
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 ..
Job Information Humana Director, Technology Risk Management in Green Bay Wisconsin Description The Director, Technology Risk Management is responsible for developing and managing effective technology risk management processes and for performing ..
Job Information Humana Director, Campaign Management & Personalization in Green Bay Wisconsin Description Humana is seeking a Director, Campaign Management & Personalization who will be responsible for the leadership and day-to-day ..
Description iCare is seeking an Associate Director, Medicaid Care Management who will lead teams of healthcare professionals responsible for care management for BadgerCare Plus and SSI Medicaid programs. The Associate Director, ..
Description iCare is seeking an Associate Director, Medicare Care Management who will lead teams of healthcare professionals responsible for care management. The Associate Director, Medicare Care Management role requires a solid ..
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 ..
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 ..
... 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 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 ..
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 Senior Learning Facilitation Professional-Remote in US in Green Bay Wisconsin Description The Senior Learning Facilitation Professional will focus on integration and implementation of training solutions for both internal ..
Job Information Humana Director, IT Program Risk Management in Green Bay Wisconsin Description The Director, Program Risk Management is responsible for identifying and driving remediation of risks across Humana's IT portfolio. ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Green Bay Wisconsin Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare ..
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 ..
... of Humana's state advocacy and engagement function. Ensures consistent approach to ... accountable for execution on legislative, regulatory and public sector business development ... at regional state and local..
