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... position with responsibility for utilization management oversight and clinical decision-making as ... Manager will lead a team of Board Certified Behavior Analysts (BCBAs) ... necessity reviews in the delivery..
... to the Vice President, Medical Management Operations and serves as a ... and serves as a member of the HGB Executive Committee. Leads ... functions related to HGB's Care..
Description The Supervisor, Quality Engineering carries out procedures ... standards and end-user requirements. The Supervisor, Quality Engineering works within thorough, ... uses independent judgment requiring analysis of variable factors to..
... be responsible for the supervision of the Fraud and Abuse Staff ... in discovery, development, and coordination of fraud and abuse cases that ... for the quality and content..
... multiple openings across the state/regions of Kentucky. Case Management Coordinator (CMC) utilizes critical thinking ... professional judgment to support the case management process, in order to facilitate ... for..
... duties for medical / behavioral case management team(s). Functions include: Researching / ... to care; creation/ data entry of new cases into the care ... new cases into the..
... Integrity : At the direction of the Associate Vice President, Payment ... will lead design and implementation of the process and experience for ... and monitor performance and quality..
... requires regional in-state travel 5-10% of the time. Travel is with ... Louisville KY. The Population Health/Wellness Case Management Coordinator (CMC) utilizes critical thinking ... professional judgment to support..
... to collaborate and inform the case management process, in order to facilitate ... for members through the use of care management tools and resources. Evaluation of Members: -Through the..
... located in the Cumberland region of KY DCBS. This is a ... visits in the Cumberland region of KY. Occasional travel to specific ... Candidates must reside in one..
Job Information Humana Manager of Fraud and Abuse Data Analytics ... Kentucky Description Responsibilities The Manager of Fraud and Abuse Data Analytics ... be responsible for the supervision of the..
Our success is a result of the diversity of the Big Ass Fans team. ... customer needs. This includes execution of new product innovation, product marketing ... short-term action.Gains a..
... Manager who will be part of a team that plans, designs, ... teams from design to delivery of fully-developed products that are ready ... teams from design to delivery..