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... section 4. Responsibilities The UM Manager will lead a team of ... guiding clinical decisions. The UM Manager will be responsible for workload ... distribution of the team. The..
... As the Associate Director, IT Project Management, you will use your ... appropriate to meet program and project needs, mitigating overall delivery risk, ... and reporting on program and..
... Clinical Analytics and Trend Program Manager in Tampa Florida Description The ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... progress and performance against the..
... courses of action. Responsibilities The Project Manager, Financial Healthcare Advisor manages all aspects of ... manages all aspects of a project, from start to finish, so ... the efforts..
... and social wellness. Responsibilities The Project Manager manages all aspects of a ... manages all aspects of a project, from start to finish, so ... time and within budget...
Description Humana Healthy Horizons is seeking a 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, ..
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 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 ..
... Number: 22000459 Description Assistant Nurse Manager Emergency Department AdventHealth Tampa Location ... daily and collaborate with Nurse Manager on completing monthly variance report ... In collaboration with the Nurse..
Description The Manager, Software Engineering codes software applications ... based on business requirements. The Manager, Software Engineering works within specific ... schedules and goals. Responsibilities The Manager, Software Engineering standardizes..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Tampa Florida Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Job Information Humana Technical Product Manager - Remote in Tampa Florida ... Senior Product Management Professional/Technical Product Manager (TPM) must be able to ... product backlog. The technical product manager..
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 ..
... Humana Finance M&A Integration Senior Project Manager in Tampa Florida Description Humana's ... a Finance M&A Integration Senior Project Manager to drive project-oriented duties related to the finance .....
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Description The Manager, Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Manager, Provider Contracting works within specific ..
Job Information Humana Senior Project Manager -- Remote in Tampa Florida ... Tampa Florida Description The Senior Project Manager manages all aspects of a ... manages all aspects of a..
Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..
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, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..
Job Information Humana Specialty Pharmacy RX Enrollment Manager in Tampa Florida Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying member ..
Description The Manager, Compliance (UM) conducts and summarizes compliance audits. This role works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the ..
Description The Medicaid Business Development Project Manager will report to the Medicaid ... Responsibilities The Medicaid Business Development Project Manager 1 designs, communicates, and implements ... operational plan for completing..
