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... multiple utilization management platforms Additional Information Interview Format:As part of our ... quickly connect and gain valuable information for you pertaining to your ... asked to provide a social..
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... Bachelor's Degree in Computer Science, Information Technology or related field or ... eQIP process to obtain Government Security Clearance to work on government ... protect member PHI / HIPAA..
... performance that meet operational and security needs Implement software to monitor ... that that meet operational and security needs Implement software to monitor ... scale on-premises and use mandated..
... Enters and maintains pertinent clinical information in various medical management systems. ... to research and understand complex information Preferred Qualifications Bachelor's degree Utilization ... associated analysis and conclusions. Additional..
... report, and communicate all audit information to delegates and required internal ... experience Vendor management experience Additional Information As part of our hiring ... quickly connect and gain valuable..
... and courteous manner. Effectively communicate information with internal and external customers. ... established schedules and deadlines. Utilize information systems for maintenance and reporting ... consistently providing complete and accurate..
Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior Health 2) will audit CPT (Current Procedural Terminology) codes to ensure correct billing under TOM (TRICARE Operations Manual) policies in accordance ..
Description The Senior Value-Based Financial Analyst supports successful value-based provider relationships ... Responsibilities The Senior Value-Based Financial Analyst advises executives to develop functional ... Qualifications Bachelor's degree in Business, Healthcare,..
... behavioral health, and/or ASD; a healthcare environment; and proven care management ... behavioral health, and/or ASD; a healthcare environment; and proven care management ... receive interim approval for government..
Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..
... 1-2 years operational experience in healthcare/managed care Ability to manage enterprise ... Six Sigma Green Belt Additional Information As part of our hiring ... quickly connect and gain valuable..
... to provide accurate and timely information for strategic and operational decisions. ... At least one year of healthcare experience with a FSA designation, ... designation, or 3 years of..
... protect member PHI / HIPAA information. Preferred Qualifications Master's degree Recruiting ... requires a Visa Sponsorship Additional Information Interview Format: As part of ... quickly connect and gain valuable..
Job Information Humana Clinical Recruiter 2 - ... protect member PHI / HIPAA information and the ability to provide ... and Symphony Talent CRM Additional Information Interview Format: As part..
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 Pharmacy Clinical Advisor Professional 2 is an integral part of the Pharmacy Stars team which is accountable for Humana's Patient Safety and medication related Star measure performance. The Pharmacy ..
