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... of variable factors. Job Description Technology Lifecycle Management (TLM) aligns with ... greater business value through timely technology adoption with a focus on ... of vendor supplied third party..
... objectives and approaches to assignments. Technology Lifecycle Management (TLM) aligns with ... greater business value through timely technology adoption with a focus on ... of vendor supplied third party..
TRS Healthcare is seeking an experienced Emergency ... 13 weeks Pay: $2666.16/Week TRS Healthcare is seeking a Registered Nurse ... Life Support certification About TRS Healthcare: TRS Healthcare is a..
Job Information Humana Telephonic Behavioral Health Care Manager in Charleston West Virginia Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve ..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Charleston West Virginia Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives ..
Description Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. ..
Job Information Humana Bilingual Quality Auditor in Charleston West Virginia Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. ..
Hospital in the capital city of West Virginia is seeking a Board Certified/Board Eligible Neurologist to join multi-specialty group made up of over 80 providers. Enjoy practicing with the latest technology ..
Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. This position is for Enclara Pharmacia, a Humana company. Enclara, ..
Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization, with a focus on oncology requests. The Oncology ..
Job Information Humana Senior Technical Product Manager in Charleston West Virginia Description The Senior Technical Product Manager (TPM) must be able to lead, plan and track all phases of the product ..
Description The Technology Solutions Principal works across technology and business (both strategy and ... delivering on combined initiatives. The Technology Solutions Principal provides strategic advice ... skilled with broad, advanced..
Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..
Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional ..
Description This is a dynamic role where you will work on some of the latest applications of data science to business. You will directly work with key client stakeholders to define ..
Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. Makes decisions on ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Job Code 2173073I Careers with MedExpress. At MedExpress, we believe in delivering quality, convenient, affordable health care and exceeding our patients expectations. Our neighborhood medical centers are open every day from ..
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 ..
... Humana forward to solve the technology challenges of tomorrow. You'll collaborate ... and change.' The Associate Director, Technology Solutions devises an effective strategy ... business initiatives. The Associate Director,..
Job Information Humana Senior FP&A Analyst in Charleston West Virginia Description The Senior Financial Planning and Analysis Professional analyzes and forecasts financial, economic, and other data to provide accurate and timely ..