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Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
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 ..
... & 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..
Job Information Centerwell RN Clinical Manager Home Health Full Time in ... in Annapolis Maryland The Clinical Manager coordinates and oversees all direct ... documentation requirements. Responsible for the QA/PI..
Job Information Humana Technical Product Manager - Remote in Bethesda Maryland ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
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..
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 ..
What You Will Do: Population Health Program Manager Full Time, M-F Linthicum, MD The Population Health Program Manager will work with payer contract management (commercial, Medicare, Medicaid), value-based contracts, and managed ..
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 Bilingual Quality Auditor in Washington District Of Columbia Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of ..
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 ..
Description The Senior Nursing Quality Outcomes Coordinator will partner with Hospital Quality, Safety, Regulatory and Hospital Risk as well as all leaders within the Division of Nursing to oversee or lead ..
Job Information Humana Bilingual Quality Auditor in Bethesda Maryland Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
Job Information Humana Technical Product Manager - Remote in Washington District ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
... Provides support to the Nurse Manager for the managerial and leadership ... one of the nation's largest healthcare management companies. The GW School ... to provide the highest quality..
**$7,500 Sign on Bonus for External Candidates** Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading ..