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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Description The Senior Product Manager - Fully Insured supports strategy ... business. Responsibilities The Senior Product Manager supports all phases of the ... desired outcomes. The Senior Product Manager will..
Description The Lead Product Manager for Specialty products leads all ... Position Overview The Lead Product Manager Leads all phases of the ... Key Responsibilities The Lead Product Manager works..
Job Information Humana Manager, Fraud and Waste-Remote US in ... Charlotte North Carolina Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..
... experience by increasing focus on healthcare services.OperationsResponsible for assisting pharmacist in ... of a pharmacist assists with healthcare service offerings including administering vaccines, ... the direction of the Pharmacy..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..
Job Information Humana Specialty Pharmacy RX Enrollment Manager in Charlotte North Carolina Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
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 Medicare/Medicaid Program Manager -- Remote in Charlotte North ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..
Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
Job Information Humana Lead Product Manager - Ancillary Products in Charlotte ... Carolina Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..
... Clinical Analytics and Trend Program Manager in Charlotte North Carolina Description ... Lead builds strategies for development, engagement, best clinical practices and processes ... Clinical Analytics & Trend Program..
... Job Title: Nurse Medical Case Manager Company: Travelers Insurance Category: Claims ... by @TRV_Careers Nurse Medical Case Manager Charlotte, North Carolina Company Summary ... Category Nurse - Medical Case..
Job Information Humana Specialty Pharmacy RX Education Manager in Charlotte North Carolina Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying ..
PURPOSE AND SCOPE:Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with ..
Job Information Humana Manager of Fraud and Abuse Data ... North Carolina Description Responsibilities The Manager of Fraud and Abuse Data ... is met. 20% Creates team engagement and develops..
Job Information Humana Lead Product Manager - Group Dental, Vision and ... Carolina Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..