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... section 4. Responsibilities The UM Manager will lead a team of ... guiding clinical decisions. The UM Manager will be responsible for workload ... distribution of the team. The..
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..
... the ACD policy requirements and Program Integrity policies, procedures and workflows ... Qualifications 3 plus years of healthcare fraud investigation experience 2 plus ... knowledge and experience Experience in..
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). ..
Job Information Humana Manager, Pharmacy and Medical Trend in Green Bay Wisconsin Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and ..
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..
... this role: As a Clinical Manager with Fresenius Medical Care, you ... will enter our Clinical Leadership Program that creates and supports a ... advanced leadership. As a Clinical..
... 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..
Job Information Humana Behavorial Economics Program Manager - Test & Learn Portfolio ... Wisconsin Description The Behavioral Economics Program Management Lead designs, executes, and ... large-scale experiments. The Behavioral Economics..
... Humana Clinical Analytics and Trend Program Manager in Green Bay Wisconsin Description ... The Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... progress and performance..
... 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 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 ..
... 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 Green Bay ... is seeking an outstanding cross-functional program leader to join its Business ... This team is focused on program/project..
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 Senior Care Manager, Behavioral Health (BCBA) in Green Bay Wisconsin Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the ..
... Bariatric Team as a Bariatric Program Coordinator, a role that is ... that is instrumental as a program and patient advocate. In collaboration ... physician leadership, this individual leads..
Job Information Humana Senior Project Manager -- Remote in Green Bay ... Bay Wisconsin Description The Senior Project Manager manages all aspects of a ... manages all aspects of a..
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 ..
... 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..
