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Job Information Humana Healthcare Lead Product Manager: Chinese and Korean Segment Medicare ... Nevada Description The Lead Product Manager Conceives of, develops, delivers, and ... customer use. The Lead Product..
Job Information Humana Healthcare Lead Product Manager: Hispanic Segment Medicare Advantage in ... Nevada Description The Lead Product Manager Conceives of, develops, delivers, and ... customer use. The Lead Product..
... Deloitte ConvergeHealth Patient Services - Manager in Las Vegas Nevada ConvergeHealth ... Vegas Nevada ConvergeHealth Patient Services Manager ConvergeHEALTH is a part of ... is a part of Deloitte..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... Las Vegas Nevada Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... action. Responsibilities The RN Care Manager, Telephonic Nurse..
... is a part of Deloitte Consulting’s Core Industry Solutions and supports ... and supports data-driven transformation of healthcare by enabling healthcare and life sciences organizations to ... collaboration with..
Job Information Humana Manager, Care Management, CenterWell Las Vegas, ... welcoming environment for all. The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management..
Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
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 ..
Description The Senior Product Manager conceives of, develops, delivers, and ... customer use. The Senior Product Manager work assignments involve moderately complex ... factors. Responsibilities The Senior Product Manager will..
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..
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 Product Manager Lead, Pharmacy Transformative Products Team, ... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With..
... of the MRA team, the Manager will work closely with market ... based on advanced knowledge/experience. The Manager, Risk Adjustment works within specific ... approach, resources, schedules and goals.The..
... As the Associate Director, IT Project Management, you will use your ... appropriate to meet program and project needs, mitigating overall delivery risk, ... and reporting on program and..
... of services provided by other healthcare professionals in compliance with review ... issues regarding technical approach for project components, and work is performed ... whether services provided by other..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide ... Description Job Description Summary The Manager, Care Management leads teams of ... multi-disciplinary care management team. The Manager, Care Management..