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Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... action. Responsibilities The RN Care Manager, Telephonic Nurse..
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..
Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... Humana is seeking a Care Manager, Telephonic Behavioral..
... 41) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... President, Strategy Advancement for our..
Job Information Humana RN-Care Manager, Behavioral Health-RN in an eNLC ... Portland Maine Description The Care Manager, Telephonic Behavioral Health 2, in ... wellbeing of members. The Care Manager, Telephonic..
... in Portland Maine Description The Healthcare Quality Reporting & Improvement (HQRI) organization is ... guidance to ensure physician and healthcare provider plans, education, reporting and materials are accurate and..
... (CCM) organization is seeking a Manager, Fraud & Waste to join ... As the Fraud & Waste Manager at Humana, you will support ... so that our members receive..
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 Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Portland Maine Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..
Job Information Humana Manager, Pharmacy and Medical Trend in ... a team charged with monitoring, reporting and projecting Humana's drug trends, ... biosimilar pipeline process. Produce top quality presentations and..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..
Job Information Humana Lead Product Manager - Healthcare API in Portland Maine Description ... Maine Description The Lead Product Manager - Healthcare API (SME) as part of ... Individual will..
Description The Manager, Compliance Nursing reviews utilization management ... fraud, waste, and abuse. The Manager, Compliance Nursing works within specific ... schedules and goals. Responsibilities The Manager, Compliance Nursing ensures..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
... in Portland Maine Description The Healthcare Quality Reporting & Improvement (HQRI) organization is ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) relies on ... guidance..
... Humana Nationwide Medicaid Behavioral Health Quality Lead in Portland Maine Description ... Maine Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
... acumen to solve for the healthcare challenges of today. The Clinical ... anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... Organization as needed Produce high..
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 Senior Quality Program Delivery Professional (Medicaid) - ... Horizons is seeking a Senior Quality Program Delivery Professional who will ... who will manage and support quality improvement..
Description The Principal Quality Leader will lead testing and ... Leader will lead testing and quality collaboration between Business and IT, ... tools and assure adherence to quality standards. Serves..
