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Description The Manager, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Manager, Pre-Authorization ..
Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... schedules and goals. Responsibilities The Manager, Care Management oversees..
... in Florida is seeking an Associate Director, Care Management who will ... responsible for care management. The Associate Director, Care Management requires a ... interrelate across department(s). Responsibilities The..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Description The Associate Director, Full Stack Engineering Performs ... appearance at the front-end. The Associate Director, Full Stack Engineering requires ... for one of the leading healthcare organizations. Reporting to..
The Department of Medicine has an exciting opportunity for a Full-Time Practice Manager to work on the UHealth Campus. The Practice Manager provides administrative direction and coordination to the formulation, interpretation, ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Miami Florida Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
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 ..
... in Florida is seeking an Associate Director, Care Management leads teams ... responsible for care management. The Associate Director, Care Management requires a ... interrelate across department(s). Responsibilities The..
Associate Medical Director (Psychiatry) Opportunity in ... Opportunity in Miami, Florida!!rnrnJOB TITLE: Associate Medical DirectorrnrnREPORTS TO: CEO rnrnDEPT: ... & Clinical rnrnJOB SUMMARY The Associate Medical Director is responsible providing..
... for a Full Time Sr. Manager, Sponsored Programs. The Sr. Manager, Sponsored Programs directs and oversees ... the assigned facilities. The Sr. Manager operates with the goals of .....