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... the region’s largest, most comprehensive healthcare provider with hospitals located in ... and Bowling Green, Kentucky. The healthcare network of choice for thousands ... care you deserve from your..
... We are the future of healthcare and our mission is to ... will help members through their healthcare journey, ensuring they get the ... is about discovery, connections and..
Job ID 21000LNVAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH Nationwide in Brentwood Tennessee Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs ..
Job Information Humana Referrals Coordinator 2 in Brentwood Tennessee Description The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
Job Information Humana Technical Product Manager - Remote in Brentwood Tennessee Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to lead, plan and track all phases of ..
Description This position is for Enclara Pharmacia, a Humana company. Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is the nation's largest ..
Job Information Humana Lead Database Administrator, Open Systems - Remote in Brentwood Tennessee Description The Lead Database Administrator manages and maintains all production and non-production databases. Responsible for standards and design ..
... of services provided by other healthcare professionals in compliance with review ... physicians, physician groups, facilities, or community groups to support regional market ... whether services provided by other..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Information Humana Care Coach 1 in Brentwood Tennessee Description The Care Coach 1, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain an optimal ..
... is: Passionate about transforming our healthcare system to meet members' rapidly evolving ... Care Coordinator, the Care Coach (Community Health Worker) is responsible for ... targeted referrals. The Care..
... 40) market leader in integrated healthcare with a clearly defined purpose ... and vitality of the associate community. Through offerings anchored in a ... we are seeking an accomplished..
Job Information Humana Senior Copy Writer in Brentwood Tennessee Description Humana's The Hive is looking for a Senior Copy Writer to join the team! The Hive is Humana's in-house agency, a ..
Description The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior Utilization ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
... Humana Lead Product Manager - Healthcare API in Brentwood Tennessee Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
Job Information Humana Senior Provider Contracting Professional - TRICARE Behavioral Health in Brentwood Tennessee Description Responsibilities The position will provide corporate support to the Director of Provider Contracting and is responsible ..
Job Information Humana Telephonic Behavioral Health Care Manager in Brentwood Tennessee Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or ..