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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..
... providers on utilization and medical management processes. Enters and maintains pertinent ... clinical information in various medical management systems. Understands own work area ... systems. Understands own work area..
... 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..
... 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..
Description The Senior Quality Improvement Professional will focus organizational efforts on ... improvement. The Senior Quality Improvement Professional work assignments involve moderately complex ... Responsibilities The Senior Quality Improvement Professional..
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..
... 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 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..
Description The Senior Quality Improvement Professional will focus organizational efforts on ... quality improvement. Senior Quality Improvement Professional work assignments involve moderately complex ... Responsibilities The Senior Quality Improvement Professional..
... 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..
... The Quality Compliance Nurse (RN) Professional uses quality improvement methodology to ... The Quality Compliance Nurse (RN) Professional leads quality improvement projects and ... The Quality Compliance Nurse (RN)..
... 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..
... 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..
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 Louisville Kentucky Description Humana ... of the Humana Military Care Management team; providing a comprehensive, holistic ... approach for..
