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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. ..
Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical Management and PCO-IPU Operations teams. ..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Albany New York Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing ..
Job Information Humana Senior Strategy & Program Development Professional (Remote) in Albany New York Description Responsibilities Humana's Corporate Marketing team is looking for a Senior Strategy & Program Development Professional to ..
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 ID 21000L6OAvailable Openings 1PURPOSE 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. ..
... plan development, and assists branch operations in clinical coordination and communication ... ongoing updates on Company’s home healthcare service, specialty, and/or product offerings ... to support diagnosis and home..
VISTA has partnered with high growth and innovative national leader to deliver frontline preventive and Urgent Care in the homes of complex, frail, and vulnerable patients. Highlights of this full-time position ..
Job Information Humana Network Operations Lead - Behavioral Health/Medicaid in ... New York Description The Network Operations Lead maintains provider relations to ... claims data needed for service operations. The..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Albany New York Description Humana's Enterprise Shared Services organization is seeking an outstanding cross-functional program leader to join its Business Management team. ..
... the advancement of Medicaid Clinical Operations and Programs. Responsibilities Responsibilities of ... a clinical environment or within healthcare operations 5 or more years Healthcare or Managed Care leadership experience,..
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,..
Job Information Centerwell Nurse Practitioner, Implementation and Training Team in Albany New York Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. ..
VISTA has partnered with high growth and innovative national leader to deliver frontline preventive and urgent care in the homes of complex, frail, and vulnerable patients. Highlights of this full-time position ..
Job Information Humana VP, Clinical Operations in Albany New York Description ... New York Description VP, Clinical Operations and Chief Clinical Officer of ... of the Home Health clinical operations...
... Advisor - Medicaid Provider Service Operations in Albany New York Description ... Advisor - Medicaid Provider Service Operations provides support to assigned health ... to Medicaid Group product implementation,..
Job ID 21000JOCAvailable Openings 1Position Specific Information Remote opportunity Training Provided PURPOSE AND SCOPE: The Patient Intake Coordinator requires excellent sales and customer service skills. This position is responsible for placing ..
... and execute strategic transformation. 'Strategy Operations' is one of a three ... Strategy Planning functions. The Strategy Operations team provides consulting services to ... the other teams in Strategy..
Job Description Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on ..
Job ID 21000MUSAvailable Openings 1 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP ..
Job ID 21000N1GAvailable Openings 1PURPOSE AND SCOPE: The professional registered nurse (CAP RN 2) position may be an entry level CAP designation for new employees that meet the CAP RN 2 ..