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Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Toledo Ohio Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
Job Information Humana RN, Field Care Manager 2 - Maternity, L&D, Mother Baby (Ohio Medicaid) in Toledo Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager ..
Description The Care Management Support Assistant 2 contributes to ... contributes to administration of Care Management. Provides non-clinical support to the ... for well-being Responsibilities The Care Management Support Assistant..
Description The Lead Cloud Architect leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. The Lead Cloud Architect works on problems of diverse scope and ..
... role is modeled after top-tier management consultancies. As such, day-to-day activities ... Data Science, Data Analytics, etc.) Healthcare industry experience Management consulting experience preferred Familiarity with ... encourage personal..
Job Information Humana RN, Field Care Manager, Maternity, L&D, Mother Baby in Toledo Ohio Description Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity, L&D, ..
... is seeking Managers of Care Management (Physical Health & Behavioral Health) ... physical or behavioral health care management operations and staff to ensure ... Functions and Responsibilities: Supervise care..
PURPOSE AND SCOPE:Supports FMCNA's mission vision core values and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy requirements.Functions as part of the hemodialysis ..
... or more years of product management experience and/or clinical implementation Leadership ... and Outlook Excellent organizational, time management and communication skills Ability to ... Qualifications: Master's degree Pharmacy Benefit..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..
Job Information Humana Quality Improvement Coordinator in Toledo Ohio Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The ..
... providers on utilization and medical management processes. Enters and maintains pertinent ... clinical information in various medical management systems. Understands own work area ... plus. Previous experience in utilization..
... 40) market leader in integrated healthcare with a clearly defined purpose ... Responsibilities Key Responsibilities Leverage product management expertise to create simple, personalized ... the moment of need for..
... RISE Plan, and/or a Care Management Entity, or who choose to ... choose to receive their care management from the MCO). Care Manager ... Plan, CPCs, and/or a Care..
... OhioRISE Plan, and/or a Care Management Entity, or who choose to ... choose to receive their care management from the MCO. The BH ... Plan, CPCs, and/or a Care..
... for one of the leading healthcare organizations. Reporting to Director of ... by delivering personalized, simplified, whole-person healthcare experiences. The Associate Director, Full ... database integrations, network and hosting..
... Horizons is seekign a Utilization Management Nurse 2 who utilizes clinical ... benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... 40 Company! Responsibilities The Utilization..
... meetings Required Qualifications Experience in healthcare, healthcare investigations, and/or risk management Supervisory or leadership experience Must ... Master's degree in Law, Business, Healthcare, or related field Extensive knowledge .....
