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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 Associate Director Utilization Management in Tampa Florida Description Come join our team. We are looking for an Associate Director, Utilization Management to utilize clinical nursing skills to support ..
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 ..
Description Are you passionate about helping people and skilled at networking and coordination? Are you familiar with social determinants of health and community services that help to fulfill basic needs? We ..
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 ..
Description Job Description Summary The RVP Health Services relies on medical background to create and oversee clinical strategy for the state of Florida. The RVP Health Services requires an in-depth understanding ..
Description The Provider Contracting Administration Coordinator 2 supports the administration of ... function. The Provider Contracting Administration Coordinator 2 performs varied activities and ... Responsibilities The Provider Contracting Administration Coordinator..
... 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..
Job ID 21000M5FAvailable Openings 1Position Specific Information ***5K Sign-On Bonus***DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient’s future—as well ..
WalgreensnJob DescriptionOur pharmacy technician positions have undergone an exciting transformation, moving from a transaction-based environment to a much more patient-centric one. As a Walgreens Pharmacy Technician or Pharmacy Technician Apprentice, you'll ..
... 40 market leader in integrated healthcare whose dream is to help ... such as Risk Management, Quality, Network, Member & Provider Services, Clinical, ... Provides strategic leadership of provider..
Genex Service LLC Care Coordinator US-FL-Tampa Job ID: 22-13315 Type: Regular Full-Time # of Openings: 1 Category: Customer Service & Support Mitchell International Overview The Enlyte Family of Businesses Mitchell | ..
Job Information Humana Medical Director of Long Term Care, Florida in Tampa Florida Description The Long Term Care Medical Director supports the Long Term Care program in meeting optimal member outcomes, ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Job Information Humana Manager of Fraud and Abuse Data Analytics in Tampa Florida Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be responsible for the supervision of the ..
... Tampa Florida Description The Director, Network Development, Long Term Care oversees ... provider services, provider engagement and network development, and maintenance of Florida ... of Florida LTC plan's provider..
