Healthcare Associate Jobs

Job Information Humana Social Worker - Telephonic Behavioral Health in Fargo North Dakota Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs ..

Job Information Humana Manager, Behavioral Provider Contracting - Remote in Fargo North Dakota Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers ..

Job Information Humana Clinical Recruiter 2 - VSP in Fargo North Dakota Description The Clinical Recruiter 2 interviews prospective employees for hourly and salaried positions. Assists with Pharmacy recruiting from entry ..

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 ..

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, ..

Job Information Humana Social Worker-MSW and licensure required- Telephonic Behavioral Health-SNP- WAH Nationwide in Fargo North Dakota Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses ..

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

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 ..

Job Information Humana Provider Contracting Professional in Fargo North Dakota Description The Provider Contracting Professional 2 Behavioral Health Network role; initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..

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 Fargo ... Fargo North Dakota Description The Associate Director, Compliance Nursing reviews utilization ... fraud, waste, and abuse. The Associate Director,..

Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Fargo North Dakota Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with ..

Job Information Humana Social Worker - Telephonic Behavioral Health-SNP- WAH Nationwide in Fargo North Dakota Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates ..

... roadmaps. Working closely with the Associate Vice President of Pharmacy Product ... insights Bachelor's degree in Business, Healthcare Administration or other related fields ... 50 market leader in integrated..

Job Information Humana Sr. Clinical Recruiter - VSP( Variable Staffing Pool) in Fargo North Dakota Description The Senior Recruiter interviews prospective employees for hourly and salaried positions. Assists with university graduate ..

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 ..

Job Information Humana Clinical Analytics and Trend Program Manager in Fargo North Dakota Description The Clinical Strategy and Practice Lead builds strategies for development, engagement, best clinical practices and processes for ..

... degree Advanced degree in a healthcare-related field Knowledge of NCQA accreditation ... & Health Promotion Accreditation, Multicultural Healthcare Distinction, and/or LTSS Distinction Auditing ... job as we are a..

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 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 ..

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 ..

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 ..

Job Information Humana Social Worker - Telephonic Behavioral Health- WAH Nationwide in Fargo North Dakota Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates ..