THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
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Description The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work ..
... appropriate. Provide professional and courteous service to all callers and work ... behavioral health, and/or ASD; a healthcare environment; and proven care management ... behavioral health, and/or ASD; a..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward ..
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 The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
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 ..
... and performance are consistent with customer needs. Responsible for the end-to-end ... defining requirements to drive improved customer experience and outcomes based on ... of roadmap for a unified..
... physicians, physician groups, and integrated healthcare delivery systems throughout the country. ... delivery systems throughout the country. Healthcare isn't just about health anymore. ... of our members, and the..
... Humana is a Fortune 60 healthcare company with a history of ... top place to work in healthcare, especially in areas of Diversity ... a personalized, seamless and easy..
... care, and/or requested site of service should be authorized. All work ... inpatient, post-acute care environments, outpatient service requests, ER review, pharmacy review ... whether services provided by other..
... develop products to meet specific customer needs and achieve specific cost ... and learn framework, and uses customer and business partner feedback to ... to ensure products are meeting..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Rogers Arkansas Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..
... the essential connection between the customer and the product. The Large ... trends while attaining financial and marketing objectives. You will provide technical ... In addition you will: Review..
Job Information Humana Healthcare Lead Product Manager: Chinese and ... for Chinese and Korean MA customer use. The Lead Product Manager ... on strategically improving sales and customer experience to..
