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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..
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..
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..
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 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 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..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Portland Maine ... 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 Portland Maine Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the Autism ..
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 Project Manager -- Remote in Portland Maine ... Portland Maine Description The Senior Project Manager manages all aspects of a ... manages all aspects of a..
... 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..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
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). ..
... 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..
... 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..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... Humana Clinical Analytics and Trend Program Manager in Portland Maine Description The ... The Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... progress and performance..
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 ..
Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..
Job Information Humana Manager, Pharmacy and Medical Trend in Portland Maine Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and medical, ..
