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Job Information Humana Clinical Recruiter 2 - VSP in Billings Montana Description The Clinical Recruiter 2 interviews prospective employees for hourly and salaried positions. Assists with Pharmacy recruiting from entry level ..
Description The Care Management Support Assistant 3 contributes to administration ... of care management. Provides non-clinical support to the assessment and evaluation ... of members. The Care Management Support Assistant..
... to telephonically assess, evaluate, and support members who are challenged by ... Our goal is to provide support for both mind and body ... take charge of their own..
... and network administration in a healthcare company or healthcare system Medicaid behavioral health contracting ... groups, ancillary providers and hospital systems. Proficiency in analyzing, understanding and ... well when..
... facilities, or community groups to support regional market priorities, which may ... or care management. Medical Directors support Humana values, and Humana's Bold ... whether services provided by other..
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 ..
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, ..
As a Recruitment Specialist you will be joining our UM Human Resource Services (HRS) recruitment team and the larger HRS team. Our team is made up of light-hearted, lively, hardworking, and ..
... ideal candidate has experience in healthcare launching digital products and working ... for information, work prioritization, and decision-making. Key Responsibilities Create, maintain and ... that clearly articulate expected outcomes..
Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides health insurance. Requires an in-depth understanding of ..
Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. ..
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 Autism ..
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 ..
The RIIC at the University of Montana is looking for a Knowledge Translation Coordinator to join our team. Knowledge translation (KT) refers to strategies that move research into practice by improving ..
... facility The Supervisor, Care Management Support will lead a team of ... a team of 16-22 care support professionals and contributes to administration ... of care management. Provides non-clinical..
Description The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
Description The Clinical Recruiter recruits and interviews prospective employees for hourly and salaried positions for our Care Delivery Organization. Humana is seeking a recruiter who is a self-starter, able to work ..
... , and provides high-level administrative support to a diversity of internal ... will have moderate autonomy and decision-making authority and will report directly ... the MPHTC director. Key administrative..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will ... focus on administrative and customer support assignments. Typical work involves processing ... provider/beneficiary inquiries. The Care Management Support..
