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... section 4. Responsibilities The UM Manager will lead a team of ... guiding clinical decisions. The UM Manager will be responsible for workload ... distribution of the team. The..
Description The Compliance Manager ensures compliance with governmental requirements. The Compliance Manager works on problems of diverse scope and complexity ranging from moderate to substantial. Responsibilities The Compliance Manager develops and ..
Job Information Humana Manager, Behavioral Provider Contracting - Remote ... in Tampa Florida Description The Manager, of Behavioral Health Provider Contracting ... Behavioral Health Provider Contracting communicates contract terms, payment..
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..
... Information Humana Health Services Compliance Manager - Remote FL in Tampa ... in Tampa Florida Description The Manager, Compliance (UM) conducts and summarizes ... and summarizes compliance audits. The..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Tampa Florida ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..
Job Information Humana Manager of Fraud and Abuse Data ... Tampa Florida Description Responsibilities The Manager of Fraud and Abuse Data ... Program Integrity sections of awarded contract. Referrals must..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Tampa Florida Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Description The Market VP, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Market VP, Provider Contracting requires ..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..
Description Humana Healthy Horizons is seeking a Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, ..
... Florida LTSS Medicaid Managed Care Contract. The Director will assess provider ... to drive decisions on provider contract renegotiations and terminations Provides market ... limited to demographics, rates, and..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides health insurance. Requires an in-depth understanding of ..
Job Information Humana Director, Contract Tools, Education, Processes (remote Eastern ... Tampa Florida Description The Director, Contract Tools, Education, Processes manages templates, ... in class knowledge. The Director, Contract Tools,..
... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care..
Description The Manager, Provider Contracting initiates, negotiates, and ... that provides health insurance. The Manager, Provider Contracting works within specific ... schedules and goals. Responsibilities The Manager, Provider Contracting communicates..
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 Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Government. Responsibilities The Telephonic Care Manager will..
Description The Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Hospital Contracting Executive works on problems ..
Description The Manager, Compliance (UM) conducts and summarizes ... schedules and goals. Responsibilities The Manager, Compliance (UM) collects and analyzes ... across the department. The Compliance manager will oversee clinical..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Tampa Florida Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the Autism ..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..
Description The IT Project Manager 2 oversees various system projects ... complex nature. The IT Project Manager 2 work assignments are varied ... of action. The IT Project Manager 2..
