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... compliance, and quality performance and staffing management. Detailed Responsibilities include: Leads ... Support development of national clinical staffing models and work with Medicaid ... with Medicaid markets to support..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..
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..
... your background and experience in program management to lead and manage ... of the segment PMO, ensuring staffing is appropriate to meet program and project needs, mitigating overall .....
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 Care Manager, Telephonic Registered Nurse, (RN) 2 ... New Jersey Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Job Information Humana Telephonic Care Manager in Jersey City New Jersey ... Jersey Description The Telephonic Care Manager will be part of the ... coping skills. Responsibilities The Case Manager..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - ... to administer the TRICARE health program for military members, retirees and ... through TRICARE and other military healthcare programs...
... Humana Clinical Analytics and Trend Program Manager in Jersey City New Jersey ... The Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... managers across the..
... for Change Orders, for ACD Program Integrity Audit; driving to operational ... team to work with ACD Program Integrity leadership, develop new, or ... leadership, develop new, or change..
... supports the Long Term Care program in meeting optimal member outcomes, ... of services provided by other healthcare professionals in compliance with approved ... clinical resource for the LTC..
... Management Support Professional- Prescription Assistance Program-CenterWell-Remote in Jersey City New Jersey ... complexity. Responsibilities The Prescription Assistance Program Field Care Manager works specifically with both CenterWell ... medications from..
... leader in medical technology and healthcare solutions were a market leader ... success. Together, we can transform healthcare. Join us for a career ... and/or outside symposiums. Assists district..
Job Information Humana Behavorial Economics Program Manager - Test & Learn Portfolio ... Jersey Description The Behavioral Economics Program Management Lead designs, executes, and ... large-scale experiments. The Behavioral Economics..
... to administer the TRICARE health program for military members, retirees and ... through TRICARE and other military healthcare programs. High-quality service, cost-effective platforms, ... Discharge Call (PDC) Telephonic Care..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Description The Director, Provider Reimbursement is responsible for the leadership, strategy development and execution of Humana Military's provider reimbursement methodologies. This leader is responsible for timely and accurate implementation of Government ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Jersey City New Jersey Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and ..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
... acumen to solve for the healthcare challenges of today. The Clinical ... home anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... team Low Value Care..
Job Information Humana Senior Project Manager -- Remote in Jersey City ... Jersey Description The Senior Project Manager manages all aspects of a ... within budget. The Senior Project Manager..
Job Information Humana Manager of Fraud and Abuse Data ... New Jersey Description Responsibilities The Manager of Fraud and Abuse Data ... correspondence. KEY ACCOUNTABILITIES 30% Manages Program Integrity team..
Description The Director, Strategy Advancement provides data-based strategic direction identifying and delivering new avenues of growth is a critical company priority, championed by the SVP of Retail Strategy & Product. We're ..
