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Description Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will assess, plan, coordinate, implement, ... Care Management Team, the care manager..
... 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..
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..
... 40) market leader in integrated healthcare with a clearly defined purpose ... is paramount in influencing positive business goals such as shopping, retention, ... experience levers and connection to..
... of services provided by other healthcare professionals in compliance with review ... as a focus on collaborative business relationships, value-based care, population health, ... whether services provided by other..
... for one of the leading healthcare organizations. Reporting to Director of ... by delivering personalized, simplified, whole-person healthcare experiences. The Associate Director, Full ... in all stages of software..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... lead cross-functional stakeholders to gather business requirements..
... charged primarily with public policy development for a broad range of ... Responsibilities Key Accountabilities Federal policy development responsibility for key Humana public ... proactive strategic counsel to senior..
Job Information Humana Director, Behavioral Health Strategy in Charleston West Virginia Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care ..
... PCT’s. Collaborates with the Clinical Manager and Education Coordinator in driving ... regarding appropriate training and organizational development programs and initiatives. Participates in ... (CQI) activities. Ensures all FMS..
Job Information Humana Manager, Fraud and Waste-Remote US in ... Charleston West Virginia Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
... and supervision of all market business development strategiesPartner with the interdisciplinary team ... makers, and key stakeholders Monitor business development plans, strategies, and tactics that ... specific KPI targets...
Job Information Humana Manager, Utilization Management Nursing - Medicare ... Charleston West Virginia Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
... Information Humana Senior Technical Product Manager in Charleston West Virginia Description ... Description The Senior Technical Product Manager (TPM) must be able to ... or industries such as software..
... to meet client and Enclara business needs. Essential Duties and Responsibilities: ... training teams to support new business development, training, and education. Remote Systems ... issues. Participate in review..
... with other analytics, IT and business areas across the organization to ... and delivering on Health Informatics business initiatives. The Director of Health ... with other analytics, IT and..
Job Information Humana Manager, Utilization Management RN - Remote ... Charleston West Virginia Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Job Information Humana Technical Product Manager - Remote in Charleston West ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... or industries such as software development,..
Company Name: Kroger Stores Position Type: Employee FLSA Status: Exempt POSITION SUMMARY Accountable for all aspects of pharmacy practice, within the limits of state and federal laws and corporate policies. Manage ..
... class reviews/evaluation, clinical policy strategy development, research, P&T committee oversight, and ... clinical drug reviews, drug policy development and drug utilization management strategies ... formulary decisions Works with appropriate..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... products and use customer and..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Charleston West Virginia Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..