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Description The Senior Product Manager - Fully Insured supports strategy ... business. Responsibilities The Senior Product Manager supports all phases of the ... desired outcomes. The Senior Product Manager will..
Description The Lead Product Manager for Specialty products leads all ... Position Overview The Lead Product Manager Leads all phases of the ... Key Responsibilities The Lead Product Manager works..
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 ..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... Green Bay Wisconsin Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Provides oversight and management to the inpatient and outpatient coding staff. Works with the coding staff to ensure accuracy and integrity of all coding. PRIMARY RESPONSIBILITIES Provides management of daily operations ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accreditation. The ..
Job Location Neenah, WI - 1200 - Neenah, WI Position Type Full Time Salary Range $47,500.00 - $48,000.00 Salary/year There's a spot on our team waiting for you! Become a Team ..
Job Information Humana Specialty Pharmacy RX Enrollment Manager in Green Bay Wisconsin Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying ..
Description iCare is seeking a Wisconsin Interdisciplinary Care Team (WICT) RN Care Manager who works within the team to meet identified complex and episodic medical, behavioral and social needs of members, ..
Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
... Clinical Analytics and Trend Program Manager in Green Bay Wisconsin Description ... Lead builds strategies for development, engagement, best clinical practices and processes ... Clinical Analytics & Trend Program..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Milwaukee Wisconsin Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Job Information Humana Specialty Pharmacy RX Education Manager in Green Bay Wisconsin Description Responsibilities The Manager, Consumer Engagement contributes to business strategy by understanding benefit offerings to ensure enrollment success, identifying ..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Green Bay ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..
