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Job Information Humana Manager, Behavioral Provider Contracting in Tampa Florida Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers and facilities. Analyzes ..
Description The Manager, Care Management leads teams of ... responsible for care management. The Manager, Care Management works within specific ... schedules and goals. Responsibilities The Manager, Care Management oversees..
Description The Behavior Health Care Manager with Humana will have the pleasure of developing, guiding, and leading a strong team of social work and behavior health professionals that support the Sunshine ..
Description The Manager, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Manager, Pre-Authorization ..
Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... action. Responsibilities The RN Care Manager, Telephonic Nurse..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
... quality collaboration between Business and IT, guiding test strategies and tools ... with leaders across Business and IT -Being a positive change agent ... date, and dependencies, to the..
Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
... acumen to solve for the healthcare challenges of today. The Clinical ... anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... progress and performance against the..
Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..
Description The Compliance Manager ensures compliance with governmental requirements. ... with governmental requirements. The Compliance Manager works on problems of diverse ... to substantial. Responsibilities The Compliance Manager develops and..
... Clinical Analytics and Trend Program Manager in Tampa Florida Description The ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... progress and performance against the..
Job Information Humana Manager, Behavioral Provider Contracting - Remote in Tampa Florida Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers and ..
... section 4. Responsibilities The UM Manager will lead a team of ... Autism Care Demonstration (ACD), as it specifically relates to Utilization Management ... guiding clinical decisions. The UM..
Description As the Associate Director, IT Project Management, you will use your ... appropriate to meet program and project needs, mitigating overall delivery risk, ... and reporting on program and..
Job Information Humana Healthcare Lead Product Manager: Chinese and Korean Segment Medicare ... Florida Description The Lead Product Manager Conceives of, develops, delivers, and ... customer use. The Lead Product..
