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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..
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... 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..
Description The Process Improvement Professional 2 analyzes, and measures the effectiveness ... process improvements. The Process Improvement Professional 2 work assignments are varied and ... Come In The Process Improvement..
... knowledge of general mental health, risk assessment and substance misuse assessment ... effective short-term interventions for high risk situations (suicidality, severe substance abuse, ... Grief counseling, workplace problems, and..
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..
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, ... insurance. 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 Tampa Florida Description Humana ... of the Humana Military Care Management team; providing a comprehensive, holistic ... approach for..
... STARS Improvement Registered Nurse, RN, Professional - Pensacola or Panama City, ... The Senior Stars Improvement, Clinical Professional responsible for the development, implementation ... for the development, implementation and..
... key insights that improve overall risk management. Apply today to learn more ... work experience, and/or other relevant professional designations At least one year ... Information Open to all..
... 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..
... 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..
... The Senior Stars Improvement, Clinical Professional responsible for the development, implementation ... for the development, implementation and management oversight of the company's Medicaid ... The Senior Stars Improvement, Clinical..
... needs. We provide concierge care management, private duty nursing, and personal ... Clinical competence/excellence Responsible for maintaining Professional/Paraprofessional productivity and margins within budget ... manner on areas of potential..
... 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..
... 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..
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..