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... section 4. Responsibilities The UM Manager will lead a team of ... guiding clinical decisions. The UM Manager will be responsible for workload ... distribution of the team. The..
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Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..
Description The Associate Director, Medicaid Implementation (Project Management) manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Associate Director, ..
Description The Project Manager manages all aspects of a ... and within budget. The Project Manager work assignments are varied and ... action. Responsibilities As a Project Manager you will..
... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care Manager will assist beneficiaries as they ... Military TRICARE - PDC Care..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... Government. Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will..
Job Information Humana RN Case Manager / Care Coach - Plant ... a dual role as case manager and care coach. The Case ... and care coach. The Case Manager/Care..
Description As the Associate Director, IT Project Management, you will use your background and experience in program management to lead and manage a team of PMO professionals that support the delivery ..
Job Information Marriott Purchasing Manager in Clearwater Beach Florida Job Number 23034661 Job Category Finance & Accounting Location JW Marriott Clearwater Beach Resort & Spa, 691 S Gulfview Blvd, Clearwater Beach, ..
Job Information Humana Senior Project Manager - Remote in US in ... Florida Description The Senior Project Manager manages all aspects of Medicaid ... within budget. The Senior Project Manager..
Description The Market Development Professional 2 provides support to assigned health plan relative to Medicare/Medicaid product implementation, operations, and contract compliance. The Market Development Professional 2 work assignments are varied and ..
Job Information Humana Workforce Management Lead - Remote, US in Tampa Florida Description The Workforce Management Lead applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic ..