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Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization..
Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates,..
Description The Pharmacy Clinical Advisor Professional 2 is an integral part of the Pharmacy Stars team which is accountable for Humana's Patient Safety and medication related Star measure performance. The..
Job Information Humana Actuary, Risk and Compliance in Boston Massachusetts Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work..
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..
Job Information Humana Senior Accreditation Professional in Boston Massachusetts Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance..
JOB DESCRIPTION FOR HOME HEALTH AIDE (HHA) Interim Healthcare of Lexington MA is looking for a compassionate and reliable home health aides (HHA) to assist our clients at home Perform..
WE ONLY WANT THE BEST! If that's you; apply today! Limited positions available We Are Here For You - #BeEssential During these trying times, we want to help and support..
If you enjoy working 1:1 with clients, and having a flexible schedule. Come join us at Senior Helpers a great place to work in Danvers, MA. Senior Helpers is looking..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for..
There is a reason Senior Helpers has been recognized as a Great Place to Work for the THIRD year in a row! Senior Helpers is the FIRST in-home care provider..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the..
Description The Clinical Data and Reporting Professional 2 generates ad hoc reports and regular datasets and reporting for clinical leadership decision making. The Clinical Data and Reporting Professional 2 also..
TeamHealth is seeking physician assistants and nurse practitioners to join our traveling advanced clinician hospital medicine team at multiple locations throughout the Northeast region. Our elite team works at selected..
