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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
Job Information Humana Manager of Fraud and Abuse Data Analytics in Montpelier Vermont Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be responsible for the supervision of the ..
Job Information Humana Product Manager Lead, Pharmacy Transformative Products Team, Remote in Montpelier Vermont Description The Pharmacy Transformative Products Team is responsible for rapidly identifying, researching, evaluating, and deploying new transformational ..
Job Information Humana Care Manager, Telephonic Nurse 2 - WAH ... Montpelier Vermont Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Job Information Humana Technical Product Manager - Remote in Montpelier Vermont Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to lead, plan and track all phases of ..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Montpelier Vermont Description Humana's Enterprise Shared Services organization is seeking an outstanding cross-functional program leader to join its Business Management team. This ..
Job Information Humana Specialty Pharmacy RX Education Manager in Montpelier Vermont Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying member ..
Job Information Humana Lead Product Manager - Group Dental, Vision and Life in Montpelier Vermont Description The Lead Product Manager Leads all phases of the product life cycle for Vision and ..
Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST states Responsibilities The Bilingual Grievances ..
Job Information Humana Manager, Utilization Management RN - Remote ... in Montpelier Vermont Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..
Job Information Humana Manager, Care Management Social Services-WAH Nationwide ... Description Job Description Summary The Manager, Care Management leads teams of ... multi-disciplinary care management team. The Manager, Care Management..
Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls from members; calls may include providing reminders of preventive screenings, assists with transferring calls to nurses, and answer general questions ..
Description The Manager, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Manager, Compliance ..
Description The Manager, Software Engineering codes software applications based on business requirements. The Manager, Software Engineering works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; ..
Job Information Humana Care Manager, Telephonic Registered Nurse, (RN) 2 ... Montpelier Vermont Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic..
Description The Manager, STARS Improvement develops, implements, and manages oversight of the company's Medicare Stars Program. This position will manage the Stars improvement team. Responsibilities The Manager, STARS Improvement develops the ..
Job Information Humana Specialty Pharmacy RX Enrollment Manager in Montpelier Vermont Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying member ..
Description The Care Manager, Telephonic Nurse 2, in a ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..
Job Information Humana Lead Product Manager - Ancillary Products in Montpelier Vermont Description The Lead Product Manager Leads all phases of the product life cycle for Vision and Life products, with ..
Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..
Genesis is a leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. Why Genesis? We improve the lives we ..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... is seeking a Telephonic Care Manager for our..