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Job Information Humana Manager, Behavioral Provider Contracting - Remote in Pittsburgh Pennsylvania Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers and ..
Description Responsibilities The Telephonic Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Government. Responsibilities The Telephonic Care Manager will..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Pittsburgh Pennsylvania ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..
Job Information Humana Technical Product Manager - Remote in Pittsburgh Pennsylvania ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
... Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in ... in Pittsburgh Pennsylvania Description The Risk Management Professional 2 identifies and .....
... Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership ... in Pittsburgh Pennsylvania Description The Healthcare Quality Reporting & Improvement (HQRI) ... that leads Humana's Stars and..
... Information Humana AVP, Stars and Risk Adjustment National Medical Director in ... in Pittsburgh Pennsylvania Description The Healthcare Quality Reporting & Improvement (HQRI) ... national planning and operations for..
... ongoing compliance with all FMS risk management initiatives. Provides opportunities for ... all patients. Must complete Clinical Manager training modules and ongoing developmental ... all patients. Must complete Clinical..
PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality ..
Job Information Humana Risk Management Professional 2-Remote, US in ... in Pittsburgh Pennsylvania Description The Risk Management Professional 2 a critical ... member within Humana's Third Party Risk Management Program..
Description The Manager, STARS Improvement develops, implements, and ... Stars improvement team. Responsibilities The Manager, STARS Improvement develops the programs ... collaborative relationships with Provider Engagement, Risk Adjustment, and Clinical..
Job Information Humana Senior Medical/Financial Risk Clinical Professional in Pittsburgh Pennsylvania ... Pennsylvania Description The Senior Medical/Financial Risk Clinical Professional is responsible for ... implementation and monitoring of medical/financial risk...
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... implement change, while mitigating operational risk. The..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Pittsburgh Pennsylvania Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward resources appropriate for the ..
Description The Manager, Risk Adjustment oversees coding educators and ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific guidelines ... schedules and goals. Responsibilities The Manager, Risk..
Healthcare Superintendent - Pittsburgh The Healthcare Superintendent leads, directs and coordinates ... and/or Turner trade labor on healthcare projects. The Superintendent is responsible ... particles; outside weather conditions and risk..
... Humana Telephonic Behavioral Health Care Manager in Pittsburgh Pennsylvania Description The ... Description The Behavioral Health Care Manager, in a telephonic environment, assesses ... members. The Behavioral Health Care..
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 Enterprise Risk Management Lead-US-Remote in Pittsburgh Pennsylvania ... Pennsylvania Description The Sales Conduct Risk Management Lead a critical member ... member of Humana's Third Party Risk Management..
... Overview Job Title: Telephonic Case Manager Company: CorVel Corporation Category: Claims, ... Tweets by @CorVelCorp Telephonic Case Manager Mechanicsburg, PA 17055 JOB SUMMARY: ... JOB SUMMARY: The Telephonic Case..
... Finance M&A Integration Senior Project Manager in Pittsburgh Pennsylvania Description Humana's ... Finance M&A Integration Senior Project Manager to drive project-oriented duties related ... Finance M&A Integration Senior Project..
