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Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... service. Summary The Clinical Account Manager (CAM) is directly responsible for ... assigned client(s). The Clinical Account..
Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... schedules and goals. Responsibilities The Manager, Utilization Management Nursing..
... As the Associate Director, IT Project Management, you will use your ... your background and experience in program management to lead and manage ... staffing is appropriate to meet..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Colorado Springs ... is seeking an outstanding cross-functional program leader to join its Business ... This team is focused on program/project..
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 ..
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..
Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... schedules and goals. Responsibilities The Manager, Care Management oversees..
... of the MRA team, the Manager will work closely with market ... metrics and match the right program to Value-based groups, put together ... HCC documentation and coding audits,..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in ... is seeking a Quality Improvement Program Lead who will be responsible ... of business. The Quality Improvement Program..
Description The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or ..
... acumen to solve for the healthcare challenges of today. The Clinical ... home anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... progress and performance against..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... action. Responsibilities The RN Care Manager, Telephonic Nurse..
... Humana Clinical Analytics and Trend Program Manager in Colorado Springs Colorado Description ... The Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... progress and performance..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, ... is seeking a Senior Quality Program Delivery Professional who will manage ... manage and support quality improvement program..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Colorado Springs Colorado Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the ..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
Job Information Humana Senior Project Manager -- Remote in Colorado Springs ... Springs Colorado Description The Senior Project Manager manages all aspects of a ... manages all aspects of a..
Job Information Humana Manager, Pharmacy and Medical Trend in Colorado Springs Colorado Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and ..
... key internal Pharmacy partners, Clinical Program Leads, Pharmacy Analytics, and external ... courses of action. Responsibilities The Project Manager, Financial Healthcare Advisor manages all aspects of ... manages all..
