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... physicians, physician groups, and integrated healthcare delivery systems throughout the country. ... delivery systems throughout the country. Healthcare isn't just about health anymore. ... of our members, and the..
Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward ..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Description The Administrative Services Coordinator provides timely and effective sales ... of customers. The Administrative Services Coordinator performs advanced administrative/operational/customer support duties ... Job Description The Administrative Services Coordinator provides..
Job Information Humana Senior Insurance Product Compliance Professional in Springfield Missouri Description The Senior Insurance Product Compliance Professional Performs consultation and research for policy & certificate language development. The Senior Insurance ..
Job Information Humana Director, Informatics in Springfield Missouri Description The Director, Informatics coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
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 ..
Mercy Hospital is seeking a CRNA to join our team in Springfield, Missouri! We need additional CRNAs to meet the growing volumes of cases and exciting and rapid growth in ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Information Humana RN/LPN Senior Provider Engagement Professional in Springfield Missouri Description The Senior Provider Engagement Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order ..
Description The Senior Learning Design Professional uses instructional design, cognitive psychology and adult learning theory to determine the appropriate solution in order to conduct or facilitate training courses for organization employees ..
Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Springfield Missouri Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..
Job Information Humana UM Medical Director - Conviva in Springfield Missouri Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..
Job Information Humana Technical Product Manager - Remote in Springfield Missouri Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to lead, plan and track all phases of ..
Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..
Job Information Humana Manager, Utilization Management RN - Remote in Springfield Missouri Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical ..
... in Springfield Missouri Description The Healthcare Quality Reporting & Improvement (HQRI) ... nationally. The Associate VP for Healthcare Quality Reporting and Improvement (HQRI) ... guidance to ensure physician and..
Job Information Humana Utilization Management Registered Nurse - Remote in Springfield Missouri Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services ..
... in Springfield Missouri Description The Healthcare Quality Reporting & Improvement (HQRI) ... guidance to ensure physician and healthcare provider plans, education, reporting and ... regional strategies for physician and..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Springfield Missouri Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..
Job Information Humana Nationwide Medicaid Behavioral Health Quality Lead in Springfield Missouri Description The Behavioral Health Quality Lead will report directly to the National Medicaid Quality Director, and be responsible for ..