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Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Description The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate ..
Description The Medical Director is a leadership position that leverages medical expertise, understanding of the TRICARE business, and managed care to support and lead on both clinical programs as well as ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Information Humana Manager of Fraud and Abuse Data Analytics in Louisville Kentucky Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be responsible for the supervision of the ..
Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ..
Job Information Humana Manager, Data Analytics in Louisville Kentucky Description Responsibilities The Manager, Data Analytics (Program Integrity) will be responsible for the supervision of the Fraud and Abuse Staff in discovery, ..
Description The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs administrative/operational/customer support/computational tasks. Typically works within a framework ..
Job Information Humana Medical Director of Long Term Care, Florida in Louisville Kentucky Description The Long Term Care Medical Director supports the Long Term Care program in meeting optimal member outcomes, ..
Description The Business Support Coordinator 1 follows established procedures and ... organization group. The Business Support Coordinator 1 performs basic administrative/clerical/operational/customer support/computational ... to the Medical Records Review Coordinator for..
Job Information Humana Manager, Data Analytics (Program Integrity) in Louisville Kentucky Description Responsibilities The Manager, Data Analytics (Program Integrity) will be responsible for the supervision of the Fraud and Abuse Staff ..
... for assuring that market area network plans are executed and desired ... are executed and desired government network goals are achieved (i.e. access ... building, maintaining, and analyzing/optimizing a..
