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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..
Description The Wellness Coach 2 supports health promotion and disease prevention and care management services. The Wellness Coach 2 work assignments are varied and frequently require interpretation and independent determination of ..
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 Manager, Utilization Management Nursing - Medicare ... in Riverton Wyoming Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
... Wyoming Description The Actuarial Product Manager manages the ecosystem of actuarial ... usher work through the software development process. Works under minimal supervision, ... function correctly, according to provided..
... and be responsible for the development, maintenance, and execution of Humana ... within the Medicaid line of business. Responsibilities The Behavioral Health Quality ... for the Medicaid line of..
... 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..
... direction to identify and address business issues and opportunities related to ... health outcomes, member and care manager experience, clinical quality, Stars program ... analytics, enterprise Stars team and..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Riverton Wyoming Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..
Description The Senior Learning Design Professional uses instructional design, cognitive psychology and adult learning theory to determine the appropriate solution in order to conduct or facilitate training courses for organization employees ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Riverton Wyoming Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..
... of services provided by other healthcare professionals in compliance with review ... typically related to intradepartmental coordination, development and implementation of strategic plans, ... implementation of strategic plans, and..
... is looking for an experienced Healthcare Investigator to join its industry ... Areas o Clinical Teams o Business areas for all product lines ... areas Bachelor's degree or significant..
Job Information Humana Manager, Utilization Management RN - Remote ... in Riverton Wyoming Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
... capability advancement activities, and the development and maintenance of QI frameworks ... associates throughout the line of business. The Quality Improvement Program Lead ... for the Medicaid line of..
... 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..
Job Information Humana Director, Behavioral Health Strategy in Riverton Wyoming Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care for ..
... 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..
... to accelerate the ideation and development of transformational initiatives that maximize ... innovation portfolio tailored to capture business objectives. We collaborate with business units across the enterprise to .....
Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with accreditation standards across multiple operational areas within Humana. Responsibilities ..
... 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..
