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Job Information Humana Manager, Behavioral Provider Contracting - Remote ... in Pittsburgh Pennsylvania Description The Manager, of Behavioral Health Provider Contracting ... knowledge of Managed Care in general and understanding..
16,436 Job Information Deloitte Employer Health Consultant - GPS in Mechanicsburg Pennsylvania Employer Health Consultant Are you an experienced, passionate pioneer in communication, transformation and technology? A solutions builder who wants ..
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 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 ..
We have an immediate opportunity for an Director of Admissions General Summary: The Director of Admissions is responsible for the hospital’s overall admission process and staff. The Director of Admissions is ..
Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a NICU Care Manager, Telephonic Nurse..
Job Information Humana Technical Product Manager - Remote in Pittsburgh Pennsylvania ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
Job Description Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're ..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..
Description The Care Manager, Telephonic Nurse Assistant 2 receives ... calls to nurses, and answer general questions from members. The NAL ... from members. The NAL Care Manager, Telephonic Nurse..
Job Information Humana Senior Data Manager - Primary Care Organization in ... Pennsylvania Description The Senior Data Manager supports all aspects of configuration ... deficiency reporting. The Senior Data Manager..
Job Information Humana Data Manager / ETL Developer - Primary ... Pittsburgh Pennsylvania Description The Data Manager 2 supports all aspects of ... and deficiency reporting. The Data Manager 2..
Healthcare Superintendent - Pittsburgh The Healthcare Superintendent leads, directs and coordinates ... and/or Turner trade labor on healthcare projects. The Superintendent is responsible ... scheduling and cost control procedures, general..
Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate resource utilization, identification of opportunities ..
... Humana Telephonic Behavioral Health Care Manager in Pittsburgh Pennsylvania Description The ... Description The Behavioral Health Care Manager, in a telephonic environment, assesses ... members. The Behavioral Health Care..
We have an immediate opportunity for Admissions Representatives General Summary: The Admissions Representative serves as the coordination point for referring facilities, physicians, payors and families by coordinating all aspects of referral/admission ..
Description The Chief Medical Officer, Group Medicare relies on the medical background to create and oversee clinical strategy for the Group Medicare business. The CMO Group Medicare, requires and in-depth understanding ..
We have an immediate opportunity for Case Managers. General Summary: The Case Manager coordinates and manages services provided to each patient to establish a focused, individualized program geared towards specific goals ..
Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..