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... 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..
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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 ..
... protect member PHI / HIPAA information. Must be passionate about contributing ... searches Previous CRM experience Additional Information Interview Format: As part of ... quickly connect and gain valuable..
... can complete or request additional information. Role Responsibilities Recognizes specific assessments/treatment ... civilian providers to obtain additional information that may be required to ... receive interim approval for government..
... to provide accurate and timely information for claims reserve valuation, financial ... improving consumer experiences Preferred Qualifications Healthcare Industry experience Additional Information Interview Format: As part of ... quickly..
Job Information Humana Sr. Clinical Recruiter - ... protect member PHI / HIPAA information. Preferred Qualifications Previous experience with ... and Symphony Talent CRM Additional Information This role is part..
... receive interim approval for government security clearance (eQIP - Electronic Questionnaire ... Electronic Questionnaire for Investigation Processing). Healthcare professional with a minimum of ... case management, clinics and/or other..
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 ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships ... goals. The Senior Value-Based Programs Analyst works on problems of diverse ... Responsibilities The Senior Value-Based Programs Analyst..
... acumen to solve for the healthcare challenges of today. The Clinical ... years or more working in healthcare or a related industry 3 ... in business or public health..
... 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..
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 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,..
... 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..
... Qualifications BCBA (Board Certified Behavior Analyst) Certification. 3 plus years of ... as a Board Certified Behavior Analyst. 3 or more years of ... see details below under Additional..
... insights Bachelor's degree in Business, Healthcare Administration or other related fields ... degree or MBA preferred Additional Information Humana is a Fortune 50 ... 50 market leader in integrated..
... 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..
Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..
... and/or Medicare experience a plus Healthcare Industry experience Additional Information Interview Format: As part of ... quickly connect and gain valuable information for you pertaining to your ... asked..
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 ..
