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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..
Job Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes Care and Education Specialist-Remote-US in Anchorage Alaska Description The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless nursing ..
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 Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
**Providence is calling a Registered Nurse (RN) Clinical Manager (5 North Medical Oncology, Day-Shift, 1.0 FTE, 40 Hours per week) to Providence Alaska Medical Center in Anchorage, Alaska. We are a ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
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 Medicare/Medicaid Program Manager -- Remote in Anchorage Alaska ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..
Job Information Humana Data Manager / ETL Developer - Primary ... Anchorage Alaska Description The Data Manager 2 supports all aspects of ... and deficiency reporting. The Data Manager 2..
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..
... determinants of health, and provider occupational/facility licensure. Leverage experience and relationships ... 5 or more years of healthcare policy experience including a track ... research, and resource development supporting..
Job Information Humana Senior Data Manager - Primary Care Organization in ... Alaska Description The Senior Data Manager supports all aspects of configuration ... deficiency reporting. The Senior Data Manager..
... calling a Registered Nurse (RN) Manager -** **Long Term Care (Nursing ... development and implementation of the facility QI plan, addressing all aspects ... The Commons Building includes the..
Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..
... Humana Telephonic Behavioral Health Care Manager in Anchorage Alaska Description The ... Description The Behavioral Health Care Manager, in a telephonic environment, assesses ... members. The Behavioral Health Care..
Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..
Job Information Humana Specialty Pharmacy RX Education Manager in Anchorage Alaska Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying member ..
Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward resources appropriate for the ..
Job Information Humana Manager, Utilization Management RN - Remote ... in Anchorage Alaska Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Anchorage Alaska Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Job Information Humana Specialty Pharmacy RX Enrollment Manager in Anchorage Alaska Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying member ..