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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. ..
Job Information Humana Senior Strategy & Program Development Professional (Remote) in Montpelier Vermont Description Responsibilities Humana's Corporate Marketing team is looking for a Senior Strategy & Program Development Professional to join ..
BAYADA Home Health Care is seeking a health care professional with management experience to fill the position of Director of Clinical Operations and Education for the Snowdrop division . We are ..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Montpelier Vermont Description Humana's Enterprise Shared Services organization is seeking an outstanding cross-functional program leader to join its Business Management team. This ..
$5,000 SIGN ON BONUS FOR PART TIME Genesis is a leading provider of post-acute healthcare services from short-term to long-term care and a wide variety of living options and professional clinical ..
... 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 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 Network Operations Lead - Behavioral Health/Medicaid in ... Montpelier Vermont Description The Network Operations Lead maintains provider relations to ... claims data needed for service operations. The..
... guide and direct the overall operations, coordination and direction of nursing ... values and policies of Genesis HealthCare and in accordance with accepted ... action when necessary. Why Genesis?Genesis..
The Director leads the strategic direction of Health Services, provides clinical and administrative supervision of designated staff, and manages the provision of age appropriate, culturally sensitive and gender-affirming general medical care ..
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 ..
... Advisor - Medicaid Provider Service Operations in Montpelier Vermont Description The ... Advisor - Medicaid Provider Service Operations provides support to assigned health ... to Medicaid Group product implementation,..
Description The Senior Compensation Professional develops, implements, and administers compensation programs. The Senior Compensation Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy ... experience by increasing focus on healthcare services.OperationsResponsible for assisting pharmacist in ... of a pharmacist assists with..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Montpelier Vermont Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..
Genesis is one of the nations' leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. Why Genesis? We improve ..
... 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..
... a leading provider of post-acute healthcare services from short-term to long-term ... guide and direct the overall operations, coordination and direction of nursing ... values and policies of Genesis..
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,..