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Description The Manager, Vendor Management works as liaison ... between vendors and organization. The Manager, Vendor Management works within specific ... schedules and goals. Responsibilities The Manager, Vendor Management reviews..
... (ACD) defined in the TRICARE Operations Manual Chapter 18, section 4. ... section 4. Responsibilities The UM Manager will lead a team of ... guiding clinical decisions. The UM..
Description The Senior Product Manager - Fully Insured supports strategy ... business. Responsibilities The Senior Product Manager supports all phases of the ... desired outcomes. The Senior Product Manager will..
Description The Manager, Risk Adjustment oversees coding educators ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific ... schedules and goals. Responsibilities The Manager, Risk Adjustment oversees..
Job Information Humana Network Operations Lead - Behavioral Health/Medicaid in ... Bay Wisconsin Description The Network Operations Lead maintains provider relations to ... claims data needed for service operations. The..
Job Information Humana Specialty Pharmacy RX Enrollment Manager in Green Bay Wisconsin Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying ..
Job Information Humana Technical Product Manager - Remote in Green Bay ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
Job Information Humana Product Manager Lead, Pharmacy Transformative Products Team, ... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Government. Responsibilities The Telephonic Care Manager will..
... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary. The PDC Care..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide ... Description Job Description Summary The Manager, Care Management leads teams of ... multi-disciplinary care management team. The Manager, Care Management..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Green Bay ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..
... Information Humana Senior Consumer Service Operations Analyst-Remote KY, IN or WI ... Description The Senior Consumer Service Operations Professional is responsible for the ... area. The Senior Consumer Service..
Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..
Job Information Humana Specialty Pharmacy RX Education Manager in Green Bay Wisconsin Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying ..
Job Information Humana Manager, Behavioral Provider Contracting - Remote ... Green Bay Wisconsin Description The Manager, of Behavioral Health Provider Contracting ... to resources, approach, and tactical operations for projects..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
Description The Lead Product Manager for Specialty products leads all ... Position Overview The Lead Product Manager Leads all phases of the ... Key Responsibilities The Lead Product Manager works..
Job Information Humana Manager, Credentialing in Green Bay Wisconsin ... Bay Wisconsin Description Responsibilities The Manager, Certifications Operations reviews the applicant's education, training, ... to resources, approach, and tactical operations..
Job Information Humana Telephonic Care Manager in Green Bay Wisconsin Description ... Wisconsin Description The Telephonic Care Manager will be part of the ... coping skills. Responsibilities The Case Manager..
Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... Green Bay Wisconsin Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..