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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 Salem Oregon Description ... Oregon 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..
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..
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 ..
... experience by increasing focus on healthcare services.nOperationsnResponsible for assisting pharmacist in ... of a pharmacist assists with healthcare service offerings including administering vaccines, ... the direction of the Pharmacy..
... 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..
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). ..
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..
... 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..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Salem Oregon Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
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 ..
... beresponsible for safety quality and compliance activities. The Manager/Sr. Manager, Safety Quality and Compliance will be responsible for supporting ... Associate Director, Safety Quality and Compliance to perform the..
Job Information Humana Lead Product Manager - Group Dental, Vision and ... Oregon Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..
... best work.(sm) The Nurse Case Manager is responsible for performing case ... maintenance or health improvement. Coordinates healthcare interventions for populations with significant ... findings. Works with the Quality..
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..
... 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 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 ..
... 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 - Ancillary Products in Salem ... Oregon Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..