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Description The Utilization Management Nurse 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 are ..
Description The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a framework ..
... with Field Operations to address network inadequacy, and document barriers to ... with leaders for collaboration with network & non-network partners. Coordinate and track outcome ... Electronic Questionnaire for..
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 Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
POSITION FEATURES:Sign On Bonus: $10,000 PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
Job Information Humana Manager of Fraud and Abuse Data Analytics in Indianapolis Indiana Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be responsible for the supervision of the ..
... for assuring that market area network plans are executed and desired ... are executed and desired government network goals are achieved (i.e. access ... building, maintaining, and analyzing/optimizing a..
Job ID 21000GL9Available Openings 2Position Specific Information No experience necessary! We offer paid training. 1225 W 86TH ST Indianapolis, IN 46260DescriptionProvide your personal attention and kindness, professional insight, and a generosity ..
