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Job Information Humana Clinical Vendor Management Lead - Remote, FL in ... Coast Florida Description The Clinical Vendor Management Lead works as clinical liaison ... vendors and organization. The Clinical..
Job Information Humana OB Care Management Support Assistant 2/Medicaid (Bilingual English/Spanish ... Augustine Florida Description The Care Management Support Assistant 2 contributes to ... contributes to administration of care management...
... monitoring and evaluating the case management plan against the member's personal ... done through an approved Humana vendor, and unvaccinated associates should follow ... their home. We are a..
Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry. Responsibilities The Care Management Support Assistant 2 Decisions are ... Administration support experience in a..
... seeking an Associate Director, Care Management who will lead teams of ... health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of .....
... concepts to test Participates in vendor contract planning and implementing new ... or more years of product management experience and/or clinical implementation Leadership ... and Outlook Excellent organizational, time..
... health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works ... Humana systems and capabilities. Program Management experience PMP/PMI certification. Independent with ... and value..
Description The Care Management Support Assistant 2 contributes to ... contributes to administration of Care Management. Provides non-clinical support to the ... for well-being Responsibilities The Care Management Support Assistant..
... seeking an Associate Director, Care Management leads teams of nurses and ... health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of .....
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ... administration determinations. The Manager, Utilization Management Nursing works within specific guidelines ... we succeed! The Manager, Utilization Management Nursing..
... to the administration of Care Management and Utilization Management. The individual in this role ... Case Managers (CMs) and Utilization Management (UM) Nurses to address co-occurring ... to the..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Saint Augustine Florida Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..
Job Information Humana Provider Contracting Professional 2 in Saint Augustine Florida Description The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. Responsibilities The ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
Description The Grievances & Appeals Professional 2 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..
... field Prior experience with corporate management over direct reports Prior health ... verbal Strong organizational and project management skills For this job, associates ... done through an approved Humana..
