Associate Jobs in Georgia

Description The Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires a solid understanding of how organization capabilities ..

Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a few powerful teams dedicated to reducing waste and abuse in the health care industry and its impacts on Humana. These teams ..

Description The Associate Medical Director serves as a ... variety of health-related problems. The Associate Medical Director requires a solid ... maintenance, and disease prevention. The Associate Medical Director is..

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 assignments ..

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 Medicaid Associate Director, Compliance Nursing in Atlanta ... in Atlanta Georgia Description The Associate Director, Compliance Nursing reviews utilization ... fraud, waste, and abuse. The Associate Director,..

Description As the Associate Director, IT Project Management, you will use your background and experience in program management to lead and manage a team of PMO professionals that support the delivery ..

... style=margin-top:1.0pt;margin-right:0in;margin-bottom:1.0pt;\u003eu003cspan style=font-size:12px;\u003eu003cspan style=font-family:Arial,Helvetica,sans-serif;\u003eu003cfont style=color:undefined;font-family:arial,sans-serif;size:undefined;\u003eu003cfont style=font-size:8.0pt;\u003eThe Associate enters orders, schedules work/production, supervises ... style=margin-top:1.0pt;margin-right:0in;margin-bottom:1.0pt;\u003eu003cspan style=font-size:12px;\u003eu003cspan style=font-family:Arial,Helvetica,sans-serif;\u003eu003cfont style=color:undefined;font-family:arial,sans-serif;size:undefined;\u003eu003cfont style=font-size:8.0pt;\u003eThe Associate moves totes, opens totes, unpacks ... style=margin-top:1.0pt;margin-right:0in;margin-bottom:1.0pt;\u003eu003cspan style=font-size:12px;\u003eu003cspan style=font-family:Arial,Helvetica,sans-serif;\u003eu003cfont style=color:undefined;font-family:arial,sans-serif;size:undefined;\u003eu003cfont style=font-size:8.0pt;\u003eThe..

Job Information Humana Senior Accreditation Professional in Atlanta Georgia Description The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with ..

Description The Associate Actuary, SPA RX will be mainly responsible for supporting the pricing work related to our standalone Prescription Drug Plans (PDPs). This includes both bid development and reforecasts throughout ..

Job Information Humana Actuary, Risk and Compliance in Atlanta Georgia Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare Advantage ..

Description The Care Management Support Assistant 2 (CMSA2) contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..

This position will perform a variety of tasks to support the health and wellbeing of the plant staff including: operating the thermal temperature scanner and/or handheld thermal device as team members ..

Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..

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 Management ..

Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..

Description The Associate Director, Problem, Incident and Event Management drives technical support teams to recover services during periods of service disruption or outages to key technology platforms/applications. The Associate Director, Problem, ..

Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates new product ideas, enhance existing products or strategic product extensions, and translates research discoveries into marketable products. This ..

Description The Senior Clinical Strategy and Practice Professional builds strategies for development, engagement, best clinical practices and processes for clinical community within the enterprise The Senior Clinical Strategy and Practice Professional ..

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 varied ..

Description The Associate VP of Payment Innovation supports the creation of new value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Associate VP of ..

Description The Associate Director, Quality Assurance for Humana/Your Home Advantage (YHA) develops and implements programs to establish and maintain quality standards of existing products and services pertaining to In Home Wellness ..

Description The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for claims reserve valuation, financial forecasting, and strategic and operational decisions within ..