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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..
Job Information Humana Quality Improvement Program Lead (National Medicaid ... Improvement Program Lead (National Medicaid Quality) in Troy Michigan Description Humana ... Healthy Horizons is seeking a Quality Improvement Program..
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, Care Management Social Services-WAH Nationwide ... Description Job Description Summary The Manager, Care Management leads teams of ... multi-disciplinary care management team. The Manager, Care Management..
... SCOPE: Manages the provision of quality patient care in an independent ... costs, operational methods, growth, and quality and staffing. Provide leadership, coaching ... schedules and goals. Program or..
... acumen to solve for the healthcare challenges of today. The Clinical ... anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... progress and performance against the..
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 ..
Job Information Humana Manager, Pharmacy and Medical Trend in ... biosimilar pipeline process. Produce top quality presentations and reports to be ... Six Sigma, Lean (or other quality program) background..
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 ..
... Humana Nationwide Medicaid Behavioral Health Quality Lead in Troy Michigan Description ... Michigan Description The Behavioral Health Quality Lead will report directly to ... directly to the National Medicaid..
Job Information Humana Technical Product Manager - Remote in Troy Michigan ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
... policy requirements. Ensure provision of quality patient care while maintaining cost-effective ... for supporting and driving FMS quality standards through meeting all ESRD ... requirements and the practice of..
... with other members of the healthcare team to plan, implement and ... organizational design and/or monitors the quality and quantity of overall workflow. ... Care Administration, Business Administration, clinical..
... Information Humana Behavorial Economics Program Manager - Test & Learn Portfolio ... acumen to solve for the healthcare challenges of today. The Clinical ... the resources to complete the..
Description The Principal Quality Leader will lead testing and ... Leader will lead testing and quality collaboration between Business and IT, ... tools and assure adherence to quality standards. Serves..
... 6 people supports the IBA project team on customer acceptance, training ... Responsibilities: As Product Application support manager, your responsibilities will be to: ... Operations/Service, especially the team of..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Troy ... Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible ... Member Plan (EFMP), auditing for quality..
Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - ... Horizons is seeking a Senior Quality Program Delivery Professional who will ... who will manage and support quality improvement..
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..