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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 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 ..
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 Metairie Louisiana Description The Senior Learning Facilitation Professional will focus on integration and implementation of training solutions for both internal and ..
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 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..
Job Information Humana Director, Campaign Management & Personalization in Metairie Louisiana Description Humana is seeking a Director, Campaign Management & Personalization who will be responsible for the leadership and day-to-day management ..
... Louisiana Description The Director, Provider Engagement develops and grows positive, long-term ... health plan. The Director, Provider Engagement requires an in-depth understanding of ... responsible for provider relations, provider..
Description The Director, Technology and Cybersecurity Risk Management is responsible for developing and managing effective risk management processes and for performing technology and cybersecurity risk assessments across Humana. This involves directing ..
... the direction of the Pharmacy Manager or pharmacist, prepares, and files ... equipment. In collaboration with Pharmacy Manager, responsible for recordkeeping and ensuring ... asset protection techniques. Supports Pharmacy..
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 ..
Tax Manager - Sustainability, Climate and Equity - Renewable Energy Duties: Manage renewable energy client engagements and participate in the targeting of new clients. Deliver value to clients by identifying opportunities ..
Job Information Humana Director, Technology Risk Management in Metairie Louisiana Description The Director, Technology Risk Management is responsible for developing and managing effective technology risk management processes and for performing technology ..
International Tax Manager, Global Trade Advisory Duties: The candidate will be participating in engagements requiring regulatory analysis for a variety of entities and their affiliates. Helping companies manage global compliance requirements ..
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 New Orleans Louisiana Description The Senior Learning Facilitation Professional will focus on integration and implementation of training solutions for both internal ..
Job Information Humana Medicare Appeals and Grievance Medical Director in Metairie Louisiana Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..
Senior Manager - Global Trade Advisory The candidate will participate in engagements requiring regulatory analysis for a variety of entities and their affiliates. Will work with US and multinational companies, understand ..