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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 ..
Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..
Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. ..
... Information Humana Senior Consumer Service Operations Analyst-Remote KY, IN or WI ... Description The Senior Consumer Service Operations Professional is responsible for the ... area. The Senior Consumer Service..
Job Information Humana VP, Clinical Operations in Green Bay Wisconsin Description ... Bay Wisconsin Description VP, Clinical Operations and Chief Clinical Officer of ... of the Home Health clinical operations...
Job Information Humana Medicare/Medicaid Program Manager -- Remote in Green Bay Wisconsin Description Humana's Enterprise Shared Services organization is seeking an outstanding cross-functional program leader to join its Business Management team. ..
... and supports end to end operations for Life, Disability, Supplemental Health, ... strong partnerships with all FP operations teams, as well as technology, ... strong partnerships with all FP..
Description The Senior Compensation Professional develops, implements, and administers compensation programs. The Senior Compensation Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... with physicians, other nurses and healthcare professionals to provide care, monitor ... medical equipment, perform minor medical operations, and advise patients and their ... is a national leader in..
Description The Network Operations Coordinator 4 maintains provider relations ... provider data needed for service operations. The Network Operations Coordinator 4 assumes ownership and ... and judgment. Responsibilities The Network..
... and execute strategic transformation. 'Strategy Operations' is one of a three ... Strategy Planning functions. The Strategy Operations team provides consulting services to ... the other teams in Strategy..
Description The Network Operations Coordinator 4 maintains provider relations ... provider data needed for service operations. The Network Operations Coordinator 4 assumes ownership and ... for well-being Responsibilities The Network..
Job Information Humana Network Operations Lead - Behavioral Health/Medicaid in ... Bay Wisconsin Description The Network Operations Lead maintains provider relations to ... claims data needed for service operations. The..
Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical Management and PCO-IPU Operations teams. ..
Job Description Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on ..
... the advancement of Medicaid Clinical Operations and Programs. Responsibilities Responsibilities of ... a clinical environment or within healthcare operations 5 or more years Healthcare or Managed Care leadership experience,..
Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... leadership and external exposure with healthcare providers in OH,..
POSITION FEATURES:Additional Job DescriptionNO previous dialysis experience needed, extensive PAID training is provided!Mainly provide Dialysis treatments at a Green Bay hospitalPURPOSE AND SCOPE:The professional registered nurse Inpatient Services RN CAP 1 ..
... Advisor - Medicaid Provider Service Operations in Green Bay Wisconsin Description ... Advisor - Medicaid Provider Service Operations provides support to assigned health ... to Medicaid Group product implementation,..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Green Bay Wisconsin Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing ..
Job Information Humana Senior Strategy & Program Development Professional (Remote) in Green Bay Wisconsin Description Responsibilities Humana's Corporate Marketing team is looking for a Senior Strategy & Program Development Professional to ..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..
