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Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Description The Senior Demand and Portfolio Management Professional collaborates with the business portfolio team to align the IT portfolio and demand. The Senior Demand and Portfolio Management Professional work assignments involve ..
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: Are you an adult or mental health nurse with an interest in education and thinking of developing your role? The University of Plymouth School of Nursing and Midwifery is looking ..
Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Fargo North Dakota Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and ..
Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain high quality ..
Description Humana Healthy Horizons is seeking a Medical Director to help develop and execute on national strategic initiatives to provide care to women. This role will work directly with established programs ..
Job Information Humana Digital Channel Sales Strategy And Transformation Lead - Louisville, KY or Remote in Fargo North Dakota Description The Digital Channel Sales Strategy and Transformation Lead enhances the consumer ..
... and in partnership with Cornwall Foundation Trust, we are looking to ... the development and delivery of foundation degree, undergraduate and postgraduate healthcare programmes. You will also be .....
Description The Senior Value-Based Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Analyst works on problems of diverse ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Fargo North Dakota Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
... Humana is a Fortune 60 healthcare company with a history of ... top place to work in healthcare, especially in areas of Diversity ... their home. We are a..
Job Information Humana Senior Contract Tools, Education, Processes Professional - Remote in Fargo North Dakota Description The Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and protocol, case ..
Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... leadership and external exposure with healthcare providers in OH,..
... the development and delivery of foundation degree, undergraduate and postgraduate healthcare programmes. You will also be ... development in the areas of healthcare, surgical care practice, emergency care .....