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Description Healthcare isn't just about health anymore. ... of our members, and the healthcare industry as a whole. The ... Field Care Manager, Behavioral Health Specialist 2( LCSW) assesses and..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
n n Helpn n Requirementsn Conditions of Employmentn n n n ntYou must be a U.S. Citizen to apply for this jobntAll applicants tentatively selected for VA employment in a testing ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description Responsibilities This role within the Autism Care Demonstration (ACD) Team, will work closely with Care Management leaders and Subject Matter Experts in the areas of Case Management, Utilization Management and ..
Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual to contribute to a high performing team that ..
Description The Fraud Investigation Technician 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud Investigation Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. ..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
... than 3 years of hands-on healthcare experience in a clinical setting, ... Preferred Qualifications Bachelor's Degree in Healthcare or Business Administration Knowledge of ... Professional State Certifications related to..
Description Healthcare isn't just about health anymore. ... of our members, and the healthcare industry as a whole. The ... School Diploma or equivalent Hands-on healthcare experience in a clinical..
Job Information Humana Actuary, Risk and Compliance in Lancaster South Carolina Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare ..
... - 3 years of hands-on healthcare experience in a clinical setting, ... Preferred Qualifications Bachelor's Degree in Healthcare or Business Administration Knowledge of ... Professional State Certifications related to..
Job Information Humana Senior Contract Tools, Education, Processes Professional - Remote in Lancaster South Carolina Description The Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and protocol, case ..
... Humana Referral Coordinator | HIMS Specialist - CenterWell Senior Primary Care ... The Referral Coordinator | HIMS Specialist will be responsible for daily ... - 3 years of hands-on..
Job Information Humana Clinical Pharmacy Lead, Remote in Lancaster South Carolina Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive ..
Cardiovascular Invasive Laboratory Specialist IV AdventHealth Tampa Location Address: ... clinical conditions. Maintains authenticity and security of the record, and follows ... and upgrades skills. Supervises other healthcare team members..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Job Information Humana FP&A Lead, Medicaid Market in Lancaster South Carolina Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..
Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..
