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Description The Senior Product Manager - Fully Insured supports strategy ... Fully Insured supports strategy development, delivery, and management of the 100 ... business. Responsibilities The Senior Product Manager supports..
Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ... schedules and goals. Responsibilities The Manager, Utilization Management Nursing..
Description Responsibilities The Telephonic Care Manager will be part of the ... of the condition/disease. The care manager will assess, plan, coordinate, implement, ... Care Management Team, the care manager..
Job Information Humana Lead Product Manager - Group Dental, Vision and ... Dakota Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... You will also facilitate the..
... Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US ... seeking a Senior Quality Program Delivery Professional who will manage and ... implementations. The Senior Quality Program..
... 40) market leader in integrated healthcare with a clearly defined purpose ... Vice President, Digital Experience - Self-Service. In this role, you set ... execute the vision of Humana.com..
Job Information Humana Manager, Utilization Management RN - Remote ... Fargo North Dakota Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
... care, and/or requested site of service should be authorized. All work ... whether services provided by other healthcare professionals are in agreement with ... Medical management organizations, hospitals/ Integrated..
... in HGB the Integrated Care Delivery Model Essential Functions and Responsibilities ... components of HGB's Integrated Care Delivery Model Provide clinical case management ... programs within the Integrated Care..
... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, and progressive approaches ... Discharge Call (PDC) Telephonic Care Manager will be part of the ... the beneficiary...
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, and progressive approaches ... Government. Responsibilities The Telephonic..
Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
Job Information Humana Telephonic Care Manager in Fargo North Dakota Description ... Dakota Description The Telephonic Care Manager will be part of the ... coping skills. Responsibilities The Case Manager..
... in HGB the Integrated Care Delivery Model. Essential Functions and Responsibilities ... components of HGB's Integrated Care Delivery Model Provide clinical case management ... programs within the Integrated Care..
... of services provided by other healthcare professionals in compliance with review ... inpatient, post-acute care environments, outpatient service requests, ER review, pharmacy review ... whether services provided by other..
... medical necessity of a given service or level of care. The ... care, and/or requested site of service should be authorized. All work ... whether services provided by other..
Description The Care Delivery Tele Sales Supervisor supports and ... develops a team of Care Delivery Tele Sales Agents. The Care ... Tele Sales Agents. The Care Delivery Tele Sales..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Job Information Humana Lead Product Manager - Ancillary Products in Fargo ... Dakota Description The Lead Product Manager Leads all phases of the ... needed. Responsibilities The Lead Product Manager..
... 40) market leader in integrated healthcare with a clearly defined purpose ... Experience - Shopping, Enrollment, & Self-Service. In this role, you set ... Humana.com marketing, shopping, enrollment, and..