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Job Information Humana Clinical Vendor Management Lead - Remote, FL ... Coast Florida Description The Clinical Vendor Management Lead works as clinical ... vendors and organization. The Clinical Vendor Management..
Description CarePlus is seeking a Clinical Business Lead who will lead teams of nurses and behavior health professionals responsible for Care Management and Utilization Management. The Clinical Business Lead works on ..
Description The Grievances & Appeals Professional 2 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..
Job Information Humana Community Health Worker in Ormond Beach Florida Description The Community Health Worker contributes to the administration of Care Management and Utilization Management. The individual in this role provides ..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care Management requires ..
Job Information Conviva Physician - Conviva - Palm Coast in Palm Coast Florida Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care ..
Description Humana Healthy Horizons in Florida is seeking an Associate Director, Care Management who will lead teams of nurses and behavior health professionals responsible for care management. The Associate Director, Care ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
... concepts to test Participates in vendor contract planning and implementing new ... Management experience Specialty Pharmacy experience Healthcare Industry experience Experience analyzing data, ... Growth mindset Project management experience..
Job Information Humana Pharmacy Technician Pool Traveling Per Diem (Daytona Beach Area) in Ormond Beach Florida Description Must be willing and able to travel to Humana Pharmacy Centers in Ormond Beach, ..
Description The Care Management Support Assistant 2 contributes to administration of Care Management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
Description Healthcare isn't just about health anymore. ... isn't just about health anymore. It's about caring for family, friends, ... finances, and personal life goals. It's about living life fully...
Job Information Humana Community Health Worker in Palm Coast Florida Description The Community Health Worker contributes to the administration of Care Management and Utilization Management. The individual in this role provides ..
Description The Medical Assistant 4 is the first point of contact for patient care. Responsible for administrative duties in addition to patient care. The Medical Assistant 4 assumes ownership and leads ..
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 ..
... education. Required Qualifications - What it takes to Succeed Bachelor's Degree ... done through an approved Humana vendor, and unvaccinated associates should follow ... their home. We are a..
Description The Medical Coding Coordinator 3 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 ..
Job Information Humana Telephonic Behavioral Health Care Manager in Saint Augustine Florida Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve ..
... Qualifications 2 years of hands-on healthcare experience in a clinical setting, ... Preferred Qualifications Bachelor's Degree in Healthcare or Business Administration Bilingual English/Spanish ... Professional State Certifications related to..
