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Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
Job Information Humana Healthcare Lead Product Manager: Chinese and Korean Segment Medicare ... Virginia 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 ... Virginia Description The Lead Product Manager Conceives of, develops, delivers, and ... customer use. The Lead Product..
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 ..
... the mission of a leading healthcare company committed to improving the ... planning, structured problem solving, and project management rigor. We are a ... care strategist with responsibility for..
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..
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..
... 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..
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 ..
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..
... 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..
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 ..
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..
Job Information Humana Manager, Fraud and Waste-Remote US in ... Glen Allen Virginia 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..
Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... involving own departmental needs. The Manager, Care Management oversees..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Richmond Virginia Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
