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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 Vancouver Washington Description ... Washington Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..
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..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Vancouver Washington Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Job Information Humana Lead Product Manager - Ancillary Products in Vancouver ... Washington Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..
... is calling a Clinical Case Manager (LCSW) - Utilization Review Quality ... are seeking a Clinical Case Manager (LCSW) - Utilization Review Quality ... factors that impact a person's..
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 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..
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..
... is calling a Safety/Environmental Health Manager - Risk Compliance And Safety (1.0 FTE, Days) ... are seeking a Safety/Environmental Health Manager - Risk Compliance And Safety that will be..
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 ..
... experience managing contracts in a healthcare setting. 5 years of experience ... 5 years of experience in healthcare related payer or provider contracting. ... **Preferred qualifications:** Master's Degree in..
Job Information Humana Lead Product Manager - Group Dental, Vision and ... Washington Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..
Description Responsibilities Senior Care Manager, Behavioral Health (BCBA) This is ... for assigned areas. Ensures full compliance with contract requirements, policies and ... Review ABA TPs for policy compliance o..
Job Information Centerwell RN Clinical Manager in Lake Oswego Oregon The ... Lake Oswego Oregon The Clinical Manager coordinates and oversees all direct ... to ensure documentation is in compliance..
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 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 ..
