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Description The Senior Policy Governance Professional policy Governance is the combination of Compliance processes established and executed that are reflected in the organization's structure and how it is managed and led ..
Description Responsibilities The ACD Referral Authorization Coordinator Lead role will assist the Supervisor in oversight & monitoring of processing and timeliness standards for referrals and authorizations under the Autism Care Demonstration ..
Job Information Humana Healthcare Lead Product Manager: Chinese and Korean Segment Medicare Advantage in Indianapolis Indiana Description The Lead Product Manager Conceives of, develops, delivers, and manages products for Chinese and ..
Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward ..
Work type: Full Time Administrative Location: Systems Office - Indianapolis, IN Categories: Administrative/Professional General Description of Position: The Assistant Vice President for Nursing (AVPN) has administrative oversight of the statewide associate ..
Job Information Humana Senior Process Improvement Professional - Remote OH, IN, KY in Indianapolis Indiana Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business processes and ..
Work type: Full Time Faculty Location: Indianapolis, IN Categories: Faculty - Nursing, Faculty General Description of Position: Has responsibility for two or more programs, campuses or academic initiatives. Manage all elements ..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Description The Care Management Support Assistant 3 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
... Qualifications Bachelor's degree in nursing, healthcare, or related field Prior experience ... 3 years' experience working on healthcare quality and performance measure improvement ... their home. We are a..
Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Indianapolis Indiana Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team ..
Work type: Full Time Faculty Location: Indianapolis, IN Categories: Faculty - Nursing, Faculty General Description of Position: Manage all elements of the designated academic program, including enrollment management, program administration, instructional ..
Job Information Humana Senior Nursing Educator - Remote OH, IN, KY in Indianapolis Indiana Description The Senior Nursing Educator plans, directs, coordinates, evaluates, develops, and/or delivers training and education programs for ..
Job Information Humana Healthcare Lead Product Manager: Hispanic Segment Medicare Advantage in Indianapolis Indiana Description The Lead Product Manager Conceives of, develops, delivers, and manages products for Hispanic MA customer use. ..
Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for final distribution all medical records ..
Job Information Humana Compliance Lead - Illinois Medicaid in Indianapolis Indiana Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ..
Description This role has responsibility for the oversight and monitoring of the Autism Care Demonstration (ACD) team performance to ensure compliance with contract and complex ACD policy requirements as defined by ..
... limited to, health insurance, data privacy/security/use, artificial intelligence, primary care, clinical ... 5 or more years of healthcare policy experience including a track ... research, and resource development supporting..
Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..