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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 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... action. Responsibilities The RN Care Manager, Telephonic Nurse..
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 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 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). ..
... 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..
... of Strategy with significant strategy consulting experience to manage and deliver ... grow Humana's PDP business. Sample project work: Development of the annual ... prior experience at top tier..
... 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..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Atlanta Georgia Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
... exciting opportunity for a Compliance Manager! Assists the Director, Compliance Services ... risk management for All Covered Healthcare clients. Activities include Enterprise Risk ... oversight and development opportunities to..
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 ..
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..
Job Information Humana Healthcare Lead Product Manager: Chinese and Korean Segment Medicare ... Georgia Description The Lead Product Manager Conceives of, develops, delivers, and ... customer use. The Lead Product..
18,799 Job Information Deloitte Senior Manager- Health Care/ Cloud App Modernization ... App Modernization Health Care Senior Manager - AWS Deloitte is an ... next-gen Cloud infrastructure. From cloud consulting,..
16,975 Job Information Deloitte Evaluation Manager with Master of Public Health ... Degree in Atlanta Georgia Evaluation Manager Are you interested in working ... Work you’ll do As a Manager..
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 ..
... 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..
