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Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Job Location: Fayetteville, AR Job Type: Full Time Department : Case Management Shift : Monday - Friday Job Posting: Director of Case Management & Social Services Employment Type: Full Time Location: ..
Job Information Humana Associate Director, Site Reliability Engineering in Rogers Arkansas Description The Associate Director, Site Reliability Engineering maintains, integrates and implements software applications within the organization. The Associate Director, Site ..
... in Rogers Arkansas Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..
Job Location: Fayetteville, AR Job Type: Full Time Department : Clinic Hospital Admin Shift : Monday - Friday Days Job Posting: Medical Risk Adjustment & Compliance Analyst: Coding Employment Type: Full ..
Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Rogers Arkansas Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be responsible for the end ..
... Days Job Posting: Payment Posting Manager Employment Type: Full Time Location: ... only locally governed, community-owned, not-for-profit healthcare system. Our system includes a ... Vision: To be the leading..
... - Friday Job Posting: Pre-Admissions Manager: Clinic Admissions Employment Type: Full ... only locally governed, community-owned, not-for-profit healthcare system. Our system includes a ... : To be the leading..
Job Information Humana Technical Product Manager - Remote in Rogers Arkansas ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
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 Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US in Rogers Arkansas Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Professional who will manage and ..
Job Location: Fayetteville, AR Job Type: Full Time Department : Clinic Hospital Admin Shift : Monday - Friday Job Posting: Coding Specialist: Compliance Analyst Employment Type: Full Time Location: Washington Regional ..
Job Location: Fayetteville, AR Job Type: Full Time Department : Clinic Hospital Admin Shift : Monday - Friday Days Job Posting: Coding Specialist - Auditor Employment Type: Full Time Location: Washington ..
... & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US ... & Risk Management Quality Audit (QA) Risk Management Professional 2, you ... for executing the Compliance Oversight..
... in Rogers Arkansas Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician and..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..