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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..
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..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Dover Delaware ... is seeking an outstanding cross-functional program leader to join its Business ... This team is focused on program/project..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Dover Delaware Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the Autism ..
Description The Manager, STARS Improvement develops, implements, and ... of the company's Medicare Stars Program. This position will manage the ... Stars improvement team. Responsibilities The Manager, STARS Improvement develops..
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..
... 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). ..
... 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..
... Adheres to the FMCNA Compliance Program, including following all regulatory and ... requirements of the FMCNA Compliance Program, and FMS patient care and ... thresholds. Oversees facility’s Home Therapies..
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 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 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 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 ..
... Humana Clinical Analytics and Trend Program Manager in Dover Delaware Description The ... The Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... progress and performance..
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..
... 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 Senior Project Manager -- Remote in Dover Delaware ... Dover Delaware Description The Senior Project Manager manages all aspects of a ... manages all aspects of a..
Job Information Humana Manager, Pharmacy and Medical Trend in Dover Delaware Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and medical, ..
... Section 4. Responsibilities The ACD Program Integrity Lead responsibilities include analyzing ... the ACD policy requirements and Program Integrity policies, procedures and workflows ... Qualifications 3 plus years of..
