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... Responsibilities The Senior Market/Industry Insights Professional delivers clinical/medical policy insight and ... (HGB). The Senior Market/Industry Insights Professional will draft and review TRICARE ... for multiple departments, especially clinical..
... Responsibilities The Senior Clinical Insights Professional delivers clinical policy insight and ... (HGB). The Senior Clinical Insights Professional will draft and review TRICARE ... for multiple departments, especially utilization..
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... High School Diploma or Equivalent 2 year or more customer service ... skills Ability to maintain a professional demeanor, practicing strict confidentiality on ... in the role as a..
Description The Payment Integrity Professional 2 uses technology and data mining, ... financial recovery. The Payment Integrity Professional 2 work assignments are varied and ... with Humana. The Payment Integrity..
... accounts. The Large Group Underwriter 2 work assignments are varied and ... Review customer data and assess risk, providing accurate case documentation and ... and sound decisions Evaluate financial..
... responsibility to operate a quality management infrastructure which promotes member safety, ... Oversee the development, implementation and management of quality improvement projects and ... committees of governance and quality..
... in performance testing? Come help us re-imagine our solutions to provide ... industry. The Lead Technology Leadership Professional is responsible for all aspects ... performance. The Lead Technology Leadership..
... the Associate Director, IT Project Management, you will use your background ... background and experience in program management to lead and manage a ... project needs, mitigating overall delivery..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ... optimal reimbursement. The Nurse Auditor 2 work assignments are varied and ... action. Responsibilities The Nurse Auditor 2 validates..
... lives. Responsibilities The EAP Counselor 2 addresses a wide range of ... knowledge of general mental health, risk assessment and substance misuse assessment. ... effective short-term interventions for high..
Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... insurance. The Senior Provider Contracting Professional work assignments involve moderately complex ... Humana Behavioral Health Location: WAH Remote..
Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... agreements. The Senior Provider Contracting Professional work assignments involve moderately complex ... Responsibilities The Senior Provider Contracting Professional..
... Care Manager, Telephonic Behavioral Health 2 - Remote, US in Cincinnati Ohio Description Humana ... of the Humana Military Care Management team; providing a comprehensive, holistic ... approach for..
Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, ... insurance. The Senior Provider Contracting Professional work assignments involve moderately complex ... Responsibilities The Senior Provider Contracting Professional..
... role in the oversight and management of our Mental Health Parity ... disclosures, contributing to the annual risk analysis and work plans. In ... MHP reporting and metrics. Support..
