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Description The Compliance Lead (Medicaid Contract Administrator) ensures compliance with governmental requirements, works on problems of diverse scope and complexity ranging from moderate to substantial. The Compliance Lead (Medicaid Contract Administrator) ..
Job Information Humana Network Operations Lead - Behavioral Health/Medicaid in ... South Carolina Description The Network Operations Lead maintains provider relations to ... claims data needed for service operations. The..
... health. Dedicated to simplifying the healthcare experience and helping people navigate ... and helping people navigate their healthcare journey, Author is leveraging digital ... a new path for the..
Job ID 21000IJPAvailable Openings 1Position Specific Information $1,000 Sign-on Bonus with no dialysis experience $1,500 Sign-on Bonus with dialysis experiencePURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service ..
Description The Consumer Service Operations Lead is responsible for the ... functions area. The Consumer Service Operations Lead works on problems of ... substantial. Responsibilities The Consumer Service Operations Lead..
Job Information Centerwell Nurse Practitioner, Implementation and Training Team in Lancaster South Carolina Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. ..
Job Information Humana Compliance Lead - Illinois Medicaid in Lancaster South Carolina Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and ..
Job Information Humana Senior Strategy & Program Development Professional (Remote) in Lancaster South Carolina Description Responsibilities Humana's Corporate Marketing team is looking for a Senior Strategy & Program Development Professional to ..
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. ..
... markets through the analysis of healthcare data, identification of target patient ... field or 5 years of healthcare operations or clinical experience Experience in ... clinical experience Experience in..
... 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..
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,..
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 ..
... Advisor - Medicaid Provider Service Operations in Lancaster South Carolina Description ... Advisor - Medicaid Provider Service Operations provides support to assigned health ... to Medicaid Group product implementation,..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Lancaster South Carolina Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing ..
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 Medicare/Medicaid Program Manager -- Remote in Lancaster South Carolina Description Humana's Enterprise Shared Services organization is seeking an outstanding cross-functional program leader to join its Business Management team. ..
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 ..
... 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,..
Job ID 21000MB5Available 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 Information Humana VP, Clinical Operations in Lancaster South Carolina Description ... South Carolina Description VP, Clinical Operations and Chief Clinical Officer of ... of the Home Health clinical operations...