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... Home Advantage (YHA) Market Clinical Manager (MCM) will lead a team ... Assessments (IHWA). The Market Clinical Manager provides leadership, clinical management and ... practice providers. The Market Clinical..
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..
... Information Humana Medicaid Associate Director, Compliance Nursing in Brentwood Tennessee Description ... Tennessee Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... Humana is seeking a Care Manager, Telephonic Behavioral..
Job Information Humana Lead Product Manager - Group Dental, Vision and ... Tennessee Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..
Job Information Humana Manager of Fraud and Abuse Data ... Brentwood Tennessee Description Responsibilities The Manager of Fraud and Abuse Data ... TRICARE Policy Manuals and ensures compliance with applicable..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Brentwood ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... auditing for quality and clinical compliance,..
Description Responsibilities The Compliance Professional 2 has responsibilities for ... documentation for quality and clinical compliance with contract requirements as outlined ... ensure all providers are in compliance based on..
Job Information Humana HCS Compliance & Risk Management Quality Audit ... action. Responsibilities As a HCS Compliance & Risk Management Quality Audit ... be responsible for executing the Compliance Oversight..
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 Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... you succeed, we succeed! The Manager, Utilization Management Nursing..
Job Information Humana Manager, Credentialing in Brentwood Tennessee Description ... Brentwood Tennessee Description Responsibilities The Manager, Certifications Operations reviews the applicant's ... and recommends changes that assure compliance with contract..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Brentwood Tennessee Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
... Humana RN Telephonic Transplant Care Manager-WAH in Brentwood Tennessee Description The ... Brentwood Tennessee Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care..
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 ..
Description The Manager, Compliance Nursing reviews utilization management activities ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific guidelines ... schedules and goals. Responsibilities The Manager, Compliance..
Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
Description The Care Manager, Telephonic Nurse 2 employs a ... skills. This is a very compliance driven and highly visible program ... the auto dialer process and compliance needs of..
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..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Job Information Humana Lead Product Manager - Ancillary Products in Brentwood ... Tennessee Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..
Job Information Humana RN-Care Manager, Behavioral Health-RN in an eNLC ... Brentwood Tennessee Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care Manager, Telephonic..
